Provider Demographics
NPI:1578393740
Name:HARIS, MOOMAL ROSE (MBCHB, MD, FRCR)
Entity type:Individual
Prefix:DR
First Name:MOOMAL
Middle Name:ROSE
Last Name:HARIS
Suffix:
Gender:F
Credentials:MBCHB, MD, FRCR
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:38 BROOMFIELD AVENUE
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:WEST YORKSHIRE
Mailing Address - Zip Code:HX3 0JF
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST FL 16
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-500-7631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX482002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty