Provider Demographics
NPI:1407088511
Name:ALABBAS, HAYTHAM HISHAM (MD, MSC, FRCSC, FACS)
Entity Type:Individual
Prefix:
First Name:HAYTHAM
Middle Name:HISHAM
Last Name:ALABBAS
Suffix:
Gender:M
Credentials:MD, MSC, FRCSC, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KING FAISAL SPECIALISTS HOSPITAL AND RESEARCH CENTER
Mailing Address - Street 2:AR RADWAH DISTRIC
Mailing Address - City:JEDDAH
Mailing Address - State:MAKKAH
Mailing Address - Zip Code:23214
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PRINCE SAUD AL FAISAL, AR RAWDAH
Practice Address - Street 2:
Practice Address - City:JEDDAH
Practice Address - State:MAKKAH
Practice Address - Zip Code:23433
Practice Address - Country:SA
Practice Address - Phone:966-126-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-23
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA242001390200000X
FL129666208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherN/A