Provider Type Icon

FADI G. GHANEM MD PA NPI 1386868875


NPI Information

NPI: 1386868875
Provider Name: FADI G. GHANEM, MD PA

Doing Business As: MATERNAL AND FAMILY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1111 MEDICAL PLAZA DR
SUITE 230
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 419-1599
Get Directions

FADI G. GHANEM, MD PA is a family medicine in The Woodlands, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FADI G. GHANEM, MD PA NPI is 1386868875. The provider is registered as an organization entity type.
The provider Is Doing Business As Maternal And Family Clinic.

The provider's business location address is:

1111 MEDICAL PLAZA DR
SUITE 230
THE WOODLANDS, TX
ZIP 77380-476
Phone: (281) 419-1599
Fax: (281) 898-7632

The provider's authorized official is Fadi G Ghanem .
The authorized official title is President and has the following contact phone number (281) 419-1599.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 8/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryH8071TEXASNo
2207Q00000XFamily MedicineH8071TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10806481-01MEDICAIDTEXAS
200468KMEDICARE PINTEXAS
300013DMOTHERTEXASBCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.