Provider Demographics
NPI:1164437976
Name:UWAYDAH, NEMA IBRAHIM (MD)
Entity Type:Individual
Prefix:DR
First Name:NEMA
Middle Name:IBRAHIM
Last Name:UWAYDAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2636 S LOOP W STE 501
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2758
Mailing Address - Country:US
Mailing Address - Phone:713-360-7053
Mailing Address - Fax:832-581-3127
Practice Address - Street 1:2636 S LOOP W STE 501
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2758
Practice Address - Country:US
Practice Address - Phone:713-360-7053
Practice Address - Fax:832-581-3127
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8544207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX037711103Medicaid
TX159679301Medicaid
TX162002301OtherTEXAS HEALTH STEP #
G99106Medicare UPIN