Individual
GINA KHRAISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST STE 274, HOUSTON, TX 77030-1501
(713) 704-9389
Mailing address
1415 LA CONCHA LN, HOUSTON, TX 77054-1801
(713) 790-9082
(713) 790-1664
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
L4492
TX
208M00000X
Hospitalist Physician
Primary
L4492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170842201
—
TX
01
—
8S2291
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/01/2006
Last updated
04/18/2025
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