Provider Demographics
NPI:1821079534
Name:GHAFIR, MOHAMED SAMER (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:SAMER
Last Name:GHAFIR
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 1:16701 CREEK BEND DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4590
Mailing Address - Country:US
Mailing Address - Phone:713-980-7840
Mailing Address - Fax:
Practice Address - Street 1:16701 CREEK BEND DR STE 300
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:713-980-7840
Practice Address - Fax:713-980-7843
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH93332085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139584012Medicaid
TX139584012Medicaid
TX88R302Medicare PIN