Provider Demographics
NPI:1841425402
Name:HEKEREM, KEMKA (MD)
Entity Type:Individual
Prefix:
First Name:KEMKA
Middle Name:
Last Name:HEKEREM
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 1:1200 HERMANN PRESSLER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3900
Mailing Address - Country:US
Mailing Address - Phone:713-500-9450
Mailing Address - Fax:
Practice Address - Street 1:1200 HERMANN PRESSLER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3900
Practice Address - Country:US
Practice Address - Phone:713-500-9450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27018207Q00000X
TXP4575207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine