Individual
GHULAM HUSSAIN THAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
ME174884
FL
2085R0202X
Diagnostic Radiology Physician
Primary
BP20024860
TX
2085R0202X
Diagnostic Radiology Physician
ME174884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128574000
—
FL
Enumeration date
01/27/2010
Last updated
05/15/2026
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