| Doctor Name: | DR. FADI G GHANEM |
| NPI Number: | 1093700932 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | H8071 |
| Business Practice Address: | 1111 Medical Plaza Dr Suite 230 The Woodlands, TX - 773803477 |
| Business Phone Number: | 2814191599 |
| Business Fax Number: | 2818987632 |
| Mailing Address: | Po Box 7727, THE WOODLANDS |
| State: | TX |
| Postal Code: | 773807727 |
| Phone Number: | 2814191599 |
| Fax Number: | 2818987632 |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 12/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H8071 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |