Provider Demographics
NPI:1275613895
Name:HAMID, MONIRA (MD)
Entity Type:Individual
Prefix:
First Name:MONIRA
Middle Name:
Last Name:HAMID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONIRA
Other - Middle Name:
Other - Last Name:HAMID-KUNDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1308
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77522-1308
Mailing Address - Country:US
Mailing Address - Phone:281-427-7305
Mailing Address - Fax:
Practice Address - Street 1:1682 W BAKER RD
Practice Address - Street 2:SUITE A
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3160
Practice Address - Country:US
Practice Address - Phone:281-427-7305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9226208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176050601Medicaid
TX8D7482Medicare ID - Type Unspecified
TX176050601Medicaid