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NPI Code Detail

MEDICARE: ABDUL HAFEEZ MD

MEDICARE:   ABDUL  HAFEEZ  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
1207RN0300XNephrology PhysicianK4074TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00001932OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110012348OTHERAMERIGROUP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37128320OTHERAETNA
58654B6OTHERTXBCBS OF TEXAS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801830716
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDUL HAFEEZ MD
Provider Business Mailing Address
First Line : 2221 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1812
Country : US
Telephone Number : 817-336-5060
Fax Number : 817-336-1744
Provider Business Practice Location Address
First Line : 2221 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1812
Country : US
Telephone Number : 817-336-5060
Fax Number : 817-336-1744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 03/18/2021

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Directions to “ ABDUL HAFEEZ MD” Practice Location

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