Healthcare Provider Details

I. General information

NPI: 1497669220
Provider Name (Legal Business Name): BAY AREA MEDICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N KOBAYASHI STE 112
WEBSTER TX
77598-4841
US

IV. Provider business mailing address

2705 MOSS CT
SEABROOK TX
77586-2835
US

V. Phone/Fax

Practice location:
  • Phone: 346-642-6891
  • Fax: 346-642-6892
Mailing address:
  • Phone: 216-482-4039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MAI ABOUELSAAD
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 216-482-4039