1457364143 NPI number — MOHAMMED ABDUL HAMEED M.D.

Table of content: MOHAMMED ABDUL HAMEED M.D. (NPI 1457364143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457364143 NPI number — MOHAMMED ABDUL HAMEED M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMEED
Provider First Name:
MOHAMMED
Provider Middle Name:
ABDUL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMEED
Provider Other First Name:
MOHD
Provider Other Middle Name:
ABDUL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1457364143
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2655 W BAKER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYTOWN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77521-2206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-425-9205
Provider Business Mailing Address Fax Number:
281-422-9408

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2655 W BAKER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAYTOWN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77521-2206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-425-9205
Provider Business Practice Location Address Fax Number:
281-422-9408
Provider Enumeration Date:
08/14/2006

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: 207R00000X , with the licence number:  K0803 , 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)

  • Identifier: 136509010 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".