Organization Active NPI

Ghanem Daghestani MD PA

Doing business as Hope Cancer Clinic

  • Hematology & Oncology Physician
  • Edinburg, TX
National Provider Identifier
1487612727
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
GHANEM DAGHESTANI MD PA
Doing business as
Hope Cancer Clinic
Practice address
2717 Michael Angelo
Suite 303
Edinburg, TX 78539-1408
Phone
(956) 687-4600
Fax
(956) 631-4555
NPI assigned
May 3, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ghanem Daghestani, MD
Title
Owner President
Phone
(956) 542-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

2717 Michael Angelo
Suite 303
Edinburg, TX 78539-1408

Mailing address

PO Box 1348
Edinburg, TX 78540-1348
Phone (956) 687-4600

Other identifiers 2

IdentifierTypeStateIssuer
P00317438OtherTXRAILROAD
180265401MedicaidTX

Other names 1

  • Hope Cancer Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

425 E Los Ebanos Blvd
Ste 202
Brownsville, TX 78520
Phone (956) 542-8400

800 W Jefferson St
Ste 170
Brownsville, TX 78520
Phone (956) 255-5010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1487612727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785401348",
            "telephone_number": "956-687-4600",
            "fax_number": "956-631-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MICHAEL ANGELO",
            "address_2": "SUITE 303",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391408",
            "telephone_number": "956-687-4600",
            "fax_number": "956-631-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHANEM DAGHESTANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "DAGHESTANI",
        "authorized_official_first_name": "GHANEM",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "956-542-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00317438",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180265401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.