Individual
AHMAD HASHEM ALTARAWNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Mailing address
100 FRANKLIN ST APT 207D, MORRISTOWN, NJ 07960-5440
(612) 607-3289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD19287
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
T3238
TX
207RN0300X
Nephrology Physician
Primary
T3238
TX
390200000X
Student in an Organized Health Care Education/Training Program
00000000000000000000
NJ
Other
Enumeration date
08/09/2011
Last updated
11/30/2021
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