Individual
DR. MOHAMED TAREK ELGHETANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6621 FANNIN STREET, TEXAS CHILDREN'S HOSPITAL DEPARTMENT OF PATHOLOGY, HOUSTON, TX 77030
(832) 824-5122
(832) 825-5110
Mailing address
6621 FANNIN STREET, DEPARTMENT OF PATHOLOGY, TCH, SUITE WB 1100, HOUSTON, TX 77030
(832) 824-5122
(832) 825-5110
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
H2356
TX
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
H2356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118289104
—
TX
Enumeration date
11/10/2006
Last updated
03/03/2011
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