1215076344 NPI number — DR. AHMED MOHAMED KAMEL ABDEL AAL MD, PHD

Table of content: DR. AHMED MOHAMED KAMEL ABDEL AAL MD, PHD (NPI 1215076344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215076344 NPI number — DR. AHMED MOHAMED KAMEL ABDEL AAL MD, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABDEL AAL
Provider First Name:
AHMED
Provider Middle Name:
MOHAMED KAMEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, PHD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215076344
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4812 LAUREL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLAIRE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77401-4410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-862-0599
Provider Business Mailing Address Fax Number:
205-975-9262

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6411 FANNIN STREET
Provider Second Line Business Practice Location Address:
MSB 2.130B
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-704-1782
Provider Business Practice Location Address Fax Number:
713-704-1738
Provider Enumeration Date:
02/05/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  L-2611 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 13335 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0204X , with the licence number: S6340 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)