Provider Demographics
NPI:1508845744
Name:ARAIN, GHULAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:GHULAM
Middle Name:M
Last Name:ARAIN
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 1:909 FROSTWOOD DR STE 1.100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9250 PINECROFT DR # N2.101
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:713-897-5539
Practice Address - Fax:713-897-2275
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1693207QG0300X, 207R00000X, 208M00000X
LAMD.12914R207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS$$$$$$$$$OtherADVANCED HEALTH SYSTEMS
MSP00411849OtherRAILROAD THRU I.H.S.
MS$$$$$$$$$OtherADVANCED HEALTH SYSTEMS
MS08806793Medicaid
LA1550744Medicaid
MSP00770650OtherRAILROAD MCARE THRU HCCN
MS302I931477Medicare PIN
MS$$$$$$$$$OtherADVANCED HEALTH SYSTEMS
G96658Medicare UPIN
LA1550744Medicaid
MS06530011Medicaid
LA4A688DV13Medicare PIN