Provider Demographics
NPI:1376216994
Name:ALABDULKAREEM, MOHAMMED ADNAN S
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:ADNAN S
Last Name:ALABDULKAREEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5233 HARRY HINES BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-0709
Mailing Address - Country:US
Mailing Address - Phone:214-648-7818
Mailing Address - Fax:214-648-8025
Practice Address - Street 1:5233 HARRY HINES BOULEVARD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-0709
Practice Address - Country:US
Practice Address - Phone:214-648-7818
Practice Address - Fax:214-648-8025
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100744582085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology