MEDICARE: DR. MOOMAL ROSE HARIS MBCHB, MD, FRCR

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
1	2085R0202X	Diagnostic Radiology Physician	48754	TX

General Provider Information

NPI Number	:	1578393740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOOMAL ROSE HARIS MBCHB, MD, FRCR

Provider Business Mailing Address
First Line	:	38 BROOMFIELD AVENUE
Second Line	:
City	:	HALIFAX
State	:	WEST YORKSHIRE
Zip	:	HX3 0JF
Country	:	GB
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST FL 16
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-500-7631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2024
Last Update Date	:	12/12/2025

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