1407088511 NPI number — HAYTHAM HISHAM ALABBAS MD, MSC, FRCSC, FACS

Table of content: HAYTHAM HISHAM ALABBAS MD, MSC, FRCSC, FACS (NPI 1407088511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407088511 NPI number — HAYTHAM HISHAM ALABBAS MD, MSC, FRCSC, FACS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALABBAS
Provider First Name:
HAYTHAM
Provider Middle Name:
HISHAM
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, MSC, FRCSC, FACS
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:
1407088511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/25/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
KING FAISAL SPECIALISTS HOSPITAL AND RESEARCH CENTER
Provider Second Line Business Mailing Address:
AR RADWAH DISTRIC
Provider Business Mailing Address City Name:
JEDDAH
Provider Business Mailing Address State Name:
MAKKAH
Provider Business Mailing Address Postal Code:
23214
Provider Business Mailing Address Country Code:
SA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PRINCE SAUD AL FAISAL, AR RAWDAH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JEDDAH
Provider Business Practice Location Address State Name:
MAKKAH
Provider Business Practice Location Address Postal Code:
23433
Provider Business Practice Location Address Country Code:
SA
Provider Business Practice Location Address Telephone Number:
966-126-6777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2009

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: 390200000X , with the licence number:  242001 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 129666 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: NA . This is a "N/A" identifier . This identifiers is of the category "OTHER".
  • Identifier: 114893800 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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