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Organization

GHANEM DAGHESTANI MD PA

Active
Other names
HOPE CANCER CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
GHANEM DAGHESTANI M.D. (PRESIDENT/OWNER)
(956) 687-4600
Entity
Organization

Contact information

Practice address
2717 MICHAEL ANGELO, SUITE 303, EDINBURG, TX 78539-1408
(956) 687-4600
(956) 217-7099
Mailing address
PO BOX 1348, EDINBURG, TX 78540-1348
(956) 542-8400
(956) 350-0802

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M2933
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295793768
INDIVIDUAL NPI
01
1487612727
GROUP NPI
05
180265401
TX
Enumeration date
04/03/2009
Last updated
04/21/2010
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