Provider Demographics
NPI:1831575778
Name:GHANI, RAIS UL
Entity type:Individual
Prefix:
First Name:RAIS
Middle Name:UL
Last Name:GHANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 WINTERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6139
Mailing Address - Country:US
Mailing Address - Phone:817-896-0786
Mailing Address - Fax:817-466-9686
Practice Address - Street 1:922 WINTERWOOD CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-6139
Practice Address - Country:US
Practice Address - Phone:817-896-0786
Practice Address - Fax:817-466-9686
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist