MEDICARE: MOUHAMAD RADWAN AL-SABBAGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	J0421	TX

General Provider Information

NPI Number	:	1740260900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOUHAMAD RADWAN AL-SABBAGH MD

Provider Business Mailing Address
First Line	:	PO BOX 540088
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77254-0088
Country	:	US
Telephone Number	:	713-850-1190
Fax Number	:	713-850-1327

Provider Business Practice Location Address
First Line	:	1140 BUSINESS CENTER DR STE 380
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2742
Country	:	US
Telephone Number	:	713-467-1750
Fax Number	:	713-467-1410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2006
Last Update Date	:	06/17/2025

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