Provider Demographics
NPI:1780722371
Name:ATTAR, MOHAMMED (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:
Last Name:ATTAR
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 1:6550 FANNIN ST STE 2123
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2709
Mailing Address - Country:US
Mailing Address - Phone:713-790-3193
Mailing Address - Fax:713-796-2558
Practice Address - Street 1:6550 FANNIN ST STE 2123
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2709
Practice Address - Country:US
Practice Address - Phone:713-790-3193
Practice Address - Fax:713-796-2558
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5344207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110381403Medicaid
TX00CA15OtherBLUE CROSS BLUE SHIELD
TX00CA15OtherBLUE CROSS BLUE SHIELD
TX110381403Medicaid