Gharaybeh, Salam Izdain
Gharaybeh, Salam Izdain is an individual health care provider with primary practice located at 3533 S Alameda St , Corpus Christi TX 78411-1721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Gharaybeh, Salam Izdain can be contacted via phone (361) 694-6852.Contact Information
Primary practice address
3533 S Alameda St
Corpus Christi TX 78411-1721
Phone: (361) 694-6852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | M3559 | Texas |
Profile Details
| NPI number | 1063452407 |
|---|---|
| LBN Legal business name | Gharaybeh, Salam Izdain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063452407 | NPPES |
| Texas | MEDICAID | 1809345-03 |
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