Provider Demographics
NPI:1417445677
Name:ABDELMOTILIB, HISHAM ABDELMONEM AHMED (MD, PHD)
Entity Type:Individual
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First Name:HISHAM
Middle Name:ABDELMONEM AHMED
Last Name:ABDELMOTILIB
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:5556 NEW TERRITORY BLVD APT 10108
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6556
Mailing Address - Country:US
Mailing Address - Phone:205-243-3283
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN ST STE JJL 310
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-5151
Practice Address - Fax:713-500-0612
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2024-04-05
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Provider Licenses
StateLicense IDTaxonomies
FLME1587392084N0400X
TXBP100778702084N0400X
TXT90432084N0400X
IA110932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology