Mohammed Waseem Imam
Allergist & Immunologist
4120 N Collins St Ste 100
Arlington
, Texas 76005-4553
Mohammed Waseem Imam
Allergist & Immunologist
4120 N Collins St Ste 100
Arlington
, Texas 76005-4553
(817) 678-5575
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Mohammed Waseem Imam
- 4120 N Collins St Ste 100
- Arlington, TX
- Zip : 76005-4553
- Phone : (817) 678-5575
Second Address
- Mohammed Waseem Imam
- 4120 N Collins St Ste 100
- Arlington, TX
- Zip : 76005-4553
- Phone : (817) 678-5575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | R5274 | TX |
National Provider Identifier
| NPI | 1003159104 |
|---|---|
| Provider Name | Mohammed Waseem Imam |
| First Address | Arlington, TX 76005-4553 |
| Second Address | Arlington, TX 76005-4553 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2013 |
| Last Update Date | 22/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003159104 | COMMERCIAL INSURANCE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.