Qassam, Mehboob S
Qassam, Mehboob S is an individual health care provider with primary practice located at 11801 S. Freeway , Fort Worth TX 76134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Qassam, Mehboob S can be contacted via phone (817) 293-9110.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J4972 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J4972 | Texas |
Profile Details
| NPI number | 1508821216 |
|---|---|
| LBN Legal business name | Qassam, Mehboob S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Oct 27th, 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 | 1508821216 | NPPES |
| Texas | MEDICAID | 137389608 |
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