DR. KHALED IMAD KHALAF (NPI# 1710237250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710237250 |
Entity Type | Individual |
Full Name | DR. KHALED IMAD KHALAF |
Credential | M.D. |
Practice Address |
18450 Highway 59 N Humble TX 77338-4404 |
Practice Telephone | 2814466566 |
Practice Fax Number | 2814466657 |
Mailing Telephone | 2814466566 |
Mailing Fax Number | 2814466656 |
Enumeration Date | 2012-09-12 |
Last Update Date | 2020-01-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
P4583 | TX | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
P4583 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 363843901 | 05 |
Street Address |
18450 HIGHWAY 59 N |
City | HUMBLE |
State | TX |
Zip Code | 77338-4404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497782858 | Natasha Iliskovic | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2006-06-28 |
1386289627 | Mujan Noroozian | Dietitian, Registered | 18450 Highway 59 N, Humble, TX 77338-4404 | 2019-11-11 |
1619454006 | Lauren Brittani Morrison | Nurse Practitioner | 18450 Highway 59 N, Humble, TX 77338-4404 | 2018-07-27 |
1821483231 | Joan Moore | Nurse Practitioner | 18450 Highway 59 N, Humble, TX 77338-4404 | 2015-04-02 |
1609210897 | David Brian Wong | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2013-04-18 |
1275896649 | Michael Daniel | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2012-06-20 |
1750602769 | Edward Wei | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2010-06-14 |
1336370881 | Rasheed Riad Zaid | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2009-07-31 |
1992931133 | Robert Lingle II | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2009-06-02 |
1285872804 | Armita Atashband | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2009-02-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
1275896649 | Michael Daniel | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2012-06-20 |
1245386424 | Charlie Issa Gnaim | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2007-01-28 |
1750476230 | Cardiovascular Association, P.l.l.c | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
1356865737 | Apex Cardiology of Houston, Pllc | Internal Medicine | 11914 Astoria Blvd Ste 410, Houston, TX 77089-6049 | 2017-07-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.