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NPI Code Detail

MEDICARE: DR. MARYAM HADI MD

MEDICARE: DR. MARYAM HADI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianU1282TX

General Provider Information

NPI Number : 1386271005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARYAM HADI MD
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-0000
Fax Number :
Provider Business Practice Location Address
First Line : 4615 SOUTHWEST FWY STE 850
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7162
Country : US
Telephone Number : 346-250-5650
Fax Number : 346-200-3996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 01/02/2024

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