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Individual

DR. MELHEM R. GHALEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 521-7620
(915) 521-7842
Mailing address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 521-7620
(915) 521-7842

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
L3309
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14475340102
EL PASO STAR
TX
01
14475340104
EL PASO FIRST
TX
05
144753403
TX
05
144753404
TX
01
46850287
MEDICAID NM
TX
01
54831
PRESBY MEDICAID
TX
01
85615Y
BCBS
TX
01
MDH42792TX
WORKERS COMP
TX
01
P00363937
MEDICARE RR
TX
Enumeration date
11/02/2005
Last updated
05/01/2008
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