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NPI Code Detail

MEDICARE: DR. TAREQ A ABOU-KHAMIS M.D.

MEDICARE:  DR. TAREQ A ABOU-KHAMIS  M.D.
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
1207RR0500XRheumatology PhysicianN9992TX

General Provider Information

NPI Number : 1851587612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAREQ A ABOU-KHAMIS M.D.
Provider Business Mailing Address
First Line : 2500 FONDREN RD
Second Line : SUITE 110
City : HOUSTON
State : TX
Zip : 77063-2308
Country : US
Telephone Number : 713-273-5805
Fax Number : 713-917-5761
Provider Business Practice Location Address
First Line : 2500 FONDREN RD
Second Line : SUITE 110
City : HOUSTON
State : TX
Zip : 77063-2308
Country : US
Telephone Number : 713-273-5805
Fax Number : 713-917-5761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2007
Last Update Date : 10/25/2011

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Directions to “ DR. TAREQ A ABOU-KHAMIS M.D.” Practice Location

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