Provider Demographics
NPI:1144571035
Name:ALSAHEEL, ABDULHAMEED YAHYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDULHAMEED
Middle Name:YAHYA
Last Name:ALSAHEEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HENRY CLAY AVELSUHSC
Mailing Address - Street 2:DEPT. OF PEDIATRIC
Mailing Address - City:NEWORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118
Mailing Address - Country:US
Mailing Address - Phone:504-896-2143
Mailing Address - Fax:504-896-2720
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:LSUHSC, DEPARTMENT OF PEDIATRICS
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-896-2143
Practice Address - Fax:504-896-2720
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2012-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAGETP.201103390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2317512Medicaid