Provider Demographics
NPI:1366678203
Name:ALMANFI, ABDELKADER (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDELKADER
Middle Name:
Last Name:ALMANFI
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 1:6624 FANNIN STREET
Mailing Address - Street 2:STE 2450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2309
Mailing Address - Country:US
Mailing Address - Phone:281-727-0096
Mailing Address - Fax:281-727-0097
Practice Address - Street 1:6624 FANNIN STREET
Practice Address - Street 2:STE 2450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2309
Practice Address - Country:US
Practice Address - Phone:281-727-0096
Practice Address - Fax:281-727-0097
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY49137207R00000X, 207RC0000X, 207RI0011X
TXT6505207RC0000X, 207RI0011X, 207R00000X
IN01078362A207RI0011X
WI70758207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100406820Medicaid
KY7100406820Medicaid