Provider Demographics
NPI:1437239779
Name:EKNOYAN, GARABED (MD)
Entity Type:Individual
Prefix:
First Name:GARABED
Middle Name:
Last Name:EKNOYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 TAUB LOOP
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1608
Mailing Address - Country:US
Mailing Address - Phone:713-873-8890
Mailing Address - Fax:713-873-8898
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-8890
Practice Address - Fax:713-873-8898
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4984207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1437239779Medicaid
TX390005594Medicare PIN
TX1437239779Medicaid
TX81J403Medicare PIN
TXTXB121570Medicare PIN
TXTXB117248Medicare PIN
B22499Medicare UPIN