Individual ProviderKhalid F AlmoosaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6431 Fannin St, Msb 1.274, Houston, TX 77030-1501(713) 500-6828PECOS EnrollmentBased on the most recent information from CMS, provider Khalid F Almoosa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1578528956Provider TypeIndividualFull NameAlmoosa, Khalid FTitleMr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/19/2006Last Updated2/9/2009Contact InformationPractice LocationPractice Address6431 Fannin St, Msb 1.274, Houston, TX 77030-1501Phone(713) 500-6828Fax(713) 500-6829Mailing LocationMailing Address6431 Fannin St, Msb 1.274, Houston, TX 77030-1501Phone(713) 500-6828Fax(713) 500-6829Provider TaxonomiesCodeDescriptionLicenseCode207RP1001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseM7822TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35-07-7327OhioCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35-07-7327OhioCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense42012TexasProvider IdentifiersIDDescriptionIssuerID2374532DescriptionMedicaidIssuerUnlistedOhioID200412450DescriptionMedicaidIssuerUnlistedIndianaID8AG687DescriptionOtherIssuerBCBSTexasID64066426DescriptionMedicaidIssuerUnlistedKentucky