MEDICARE: AL-SAHAF MD PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1174354930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AL-SAHAF MD PLLC

Provider Business Mailing Address
First Line	:	24200 VIA MAZZINI WAY STE 270
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3439
Country	:	US
Telephone Number	:	505-506-9653
Fax Number	:

Provider Business Practice Location Address
First Line	:	24200 VIA MAZZINI WAY STE 270
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3439
Country	:	US
Telephone Number	:	346-546-8028
Fax Number	:	866-531-8156

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL / OWNER
Name	:	ABDULLA HUSSEIN ABDULLA
Credential	:	MD
Telephone Number	:	505-506-9653

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	02/28/2025

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