MEDICARE: DR. MICHAEL PAUL ABDELSAYED D.O.

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	208100000X	Physical Medicine & Rehabilitation Physician	L9592	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	612692	OTHER	TX	MEDICARE
4	P00394119	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8S0959	OTHER	TX	BCBS OF TX INDIVIDUAL ID
2	7864655	OTHER		AETNA

General Provider Information

NPI Number	:	1417935826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PAUL ABDELSAYED D.O.

Provider Business Mailing Address
First Line	:	1455 SUGAR CREEK BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3929
Country	:	US
Telephone Number	:	877-955-9355
Fax Number	:	877-955-9355

Provider Business Practice Location Address
First Line	:	16902 SOUTHWEST FWY STE 100
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3574
Country	:	US
Telephone Number	:	713-527-0120
Fax Number	:	713-527-8131

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	09/28/2020

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Directions to “ DR. MICHAEL PAUL ABDELSAYED D.O.” Practice Location

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