Provider Demographics
NPI:1023723046
Name:IKRAM, FALIH MOHAMMAD (CPHT, EMT-B)
Entity type:Individual
Prefix:
First Name:FALIH
Middle Name:MOHAMMAD
Last Name:IKRAM
Suffix:
Gender:M
Credentials:CPHT, EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 AMANDA CT
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3720
Mailing Address - Country:US
Mailing Address - Phone:480-465-1635
Mailing Address - Fax:
Practice Address - Street 1:115 W FM 544
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4580
Practice Address - Country:US
Practice Address - Phone:972-516-0264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX777663146N00000X
TX308851183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX777663OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX308851OtherTEXAS STATE BOARD OF PHARMACY
5332-6816-8651OtherNREMT
30177915OtherPHARMACY TECHNICIAN CERTIFICATION BOARD