| Hamed Abdulsalam Shabaneh Altamimi Md, Pllc | |
|
2345 50th St Ste 500 Lubbock TX 79412-2565 | |
| (806) 701-5797 | |
| (806) 701-5798 |
| Full Name | Hamed Abdulsalam Shabaneh Altamimi Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2345 50th St Ste 500, Lubbock, Texas |
| Authorized Official Name and Position | Hamed A Shabaneh Altamimi (OWNER/PRESIDENT) |
| Authorized Official Contact | 8064419495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamed Abdulsalam Shabaneh Altamimi Md, Pllc Po Box 16770 Lubbock TX 79490-6770 Ph: (806) 701-5797 | Hamed Abdulsalam Shabaneh Altamimi Md, Pllc 2345 50th St Ste 500 Lubbock TX 79412-2565 Ph: (806) 701-5797 |
| NPI Number | 1225786122 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/21/2022 |
| Medicare PECOS PAC ID | 0446647572 |
|---|---|
| Medicare Enrollment ID | O20220420000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225786122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Hamed Shabaneh Al-tamimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396757233 PECOS PAC ID: 6709890395 Enrollment ID: I20060202000947 |
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