MEDICARE: SAHEED ADEBAYO ABDUAFEES

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	172A00000X	Driver

General Provider Information

NPI Number	:	1861981342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAHEED ADEBAYO ABDUAFEES

Provider Business Mailing Address
First Line	:	1919 S KIRKWOOD RD APT 138
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 S KIRKWOOD RD APT 138
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6218
Country	:	US
Telephone Number	:	281-509-1584
Fax Number	:

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

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	05/09/2018

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