1790126241 NPI number — NABEEL HASHEM ISMAEIL MD

Table of content: NABEEL HASHEM ISMAEIL MD (NPI 1790126241)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790126241 NPI number — NABEEL HASHEM ISMAEIL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ISMAEIL
Provider First Name:
NABEEL
Provider Middle Name:
HASHEM
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1790126241
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/23/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 KING FAISAL SPECIALIST HOSPITAL AND RESEARCH CENTER
Provider Second Line Business Mailing Address:
AL RAWDAH
Provider Business Mailing Address City Name:
JEDDAH
Provider Business Mailing Address State Name:
MAKKAH
Provider Business Mailing Address Postal Code:
23433
Provider Business Mailing Address Country Code:
SA
Provider Business Mailing Address Telephone Number:
96626677777
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 KING FAISAL SPECIALIST HOSPITAL AND RESEARCH CENTER
Provider Second Line Business Practice Location Address:
AL RAWDAH
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:
96626677777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2013

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: 207RC0000X , with the licence number:  BP10046296 , 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)