Healthcare Provider Details

I. General information

NPI: 1033716089
Provider Name (Legal Business Name): MOHAMMED TALAL ABUALENAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST
KANSAS CITY KS
66160-8501
US

IV. Provider business mailing address

6550 FANNIN ST STE SM1801
HOUSTON TX
77030-2717
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-0844
  • Fax:
Mailing address:
  • Phone: 713-441-3625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMTL005859
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number94-11289
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: