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Organization

KARIM M. MEGHANI, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARIM MEGHANI MD (PRESIDENT)
(817) 820-3502
Entity
Organization

Contact information

Practice address
425 ALABAMA AVE, FORT WORTH, TX 76104-1022
(817) 820-3502
(817) 820-3505
Mailing address
PO BOX 93267, SOUTHLAKE, TX 76092-0112
(817) 820-3502
(817) 820-3505

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J9205
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00T18M
MEDICARE
TX
01
035953101
TPI NUMBER
TX
05
035953101
TX
01
250007058
MEDICARE RAILROAD
TX
01
4113420
BLUE LINK #
TX
01
5672381
AETNA NUMBER
TX
01
8050734002
CIGNA PAL ID #
TX
01
89Y320
HMO BLUE #
TX
Enumeration date
04/08/2011
Last updated
09/16/2013
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