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NPI Code Detail

MEDICARE: GHULAM HUSSAIN THAVER MD

MEDICARE: GHULAM HUSSAIN THAVER 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
12085R0202XDiagnostic Radiology PhysicianBP20024860TX

General Provider Information

NPI Number : 1861723108
Entity Type Code : Individual
Provider Name (Legal Business Name) : GHULAM HUSSAIN THAVER MD
Provider Business Mailing Address
First Line : 12554 RIATA VISTA CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78727-6431
Country : US
Telephone Number : 512-795-5100
Fax Number : 512-795-5122
Provider Business Practice Location Address
First Line : 3485 INDEPENDENCE DR
Second Line :
City : HOMEWOOD
State : AL
Zip : 35209-5603
Country : US
Telephone Number : 205-930-0920
Fax Number : 205-445-0115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2010
Last Update Date : 01/05/2026

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