Basic Information
| Provider Information | |||||||||
| NPI: | 1841890100 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GHAWI | ||||||||
| FirstName: | RUBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4614 SAWMILL LN | ||||||||
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| City: | PASADENA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775055526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7732408732 | ||||||||
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| Practice Location | |||||||||
| Address1: | 16655 SOUTHWEST FWY | ||||||||
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| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774792329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812747000 | ||||||||
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| ProviderEnumerationDate: | 10/27/2020 | ||||||||
| LastUpdateDate: | 10/27/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZE0600X | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.