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NPI Code Detail

MEDICARE: DR. MAI ABOUELSAAD M.D.

MEDICARE: DR. MAI ABOUELSAAD M.D.
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
1207R00000XInternal Medicine PhysicianR6324TX
2208M00000XHospitalist PhysicianR6324TX

General Provider Information

NPI Number : 1790168086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAI ABOUELSAAD M.D.
Provider Business Mailing Address
First Line : 920 FROSTWOOD DR STE 2.300
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11800 ASTORIA BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6041
Country : US
Telephone Number : 281-929-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2015
Last Update Date : 02/17/2026

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