Individual
KARIM MEGHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 ALABAMA AVE, FORT WORTH, TX 76104-1022
(817) 820-3502
Mailing address
PO BOX 93267, SOUTHLAKE, TX 76092-0112
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
J9205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
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
06/01/2006
Last updated
09/16/2013
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