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Organization

MAINLAND PATHOLOGY ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMEELA AHMEDUDDIN MD (AUTHORIZED REP.)
(713) 481-3545
Entity
Organization

Contact information

Practice address
6807 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2500
(713) 481-3545
(713) 432-0221
Mailing address
PO BOX 420998, HOUSTON, TX 77242-0998

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI2354
RAILROAD MEDICARE
TX
Enumeration date
12/06/2005
Last updated
09/29/2011
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