Provider Demographics
NPI:1578528956
Name:ALMOOSA, KHALID F (MD)
Entity Type:Individual
Prefix:MR
First Name:KHALID
Middle Name:F
Last Name:ALMOOSA
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 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 1.274
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-6828
Mailing Address - Fax:713-500-6829
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:MSB 1.274
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-6828
Practice Address - Fax:713-500-6829
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-7327207R00000X, 207RP1001X
TX42012207RP1001X
TXM7822207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2374532Medicaid
IN200412450Medicaid
TX8AG687OtherBCBS
KY64066426Medicaid
TX8K2636Medicare PIN
OH2374532Medicaid
TX8AG687OtherBCBS
IN200412450Medicaid
KY64066426Medicaid