Mariam Khaled Ghanem, NP
Nurse Practitioner, Pediatrics, Critical Care in San Francisco, CA. Individual provider (NPI-1).
NPI number1467257568
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1467257568
- Entity type
- Individual (NPI-1)
- Name
- Mariam Khaled Ghanem
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | 95033634 | CA | Yes |
Practice location
1975 4th StSan Francisco, CA 94143-2351
Phone 415-476-1000
Mailing address
7575 Kirby Dr Apt 3404Houston, TX 77030-4453
Phone 936-524-4255
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