| M Radwan Al-sabbagh Md Pa | |
|
6410 Fannin 1260 Houston TX 77030 | |
| (713) 850-1190 | |
| (713) 850-1327 |
| Full Name | M Radwan Al-sabbagh Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6410 Fannin, Houston, Texas |
| Authorized Official Name and Position | Radwan Al-sabbagh (DIRECTOR) |
| Authorized Official Contact | 7188501190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Radwan Al-sabbagh Md Pa P.o. Box 1349 Dept 01 Houston TX 77251 Ph: (713) 850-1190 | M Radwan Al-sabbagh Md Pa 6410 Fannin 1260 Houston TX 77030 Ph: (713) 850-1190 |
| NPI Number | 1700809639 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 0345375846 |
|---|---|
| Medicare Enrollment ID | O20100326000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700809639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mouhamad R Al-sabbagh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740260900 PECOS PAC ID: 5193759835 Enrollment ID: I20090821000568 |
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