Provider Demographics
NPI:1417935826
Name:ABDELSAYED, MICHAEL PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAUL
Last Name:ABDELSAYED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1455 SUGAR CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3929
Mailing Address - Country:US
Mailing Address - Phone:877-955-9355
Mailing Address - Fax:877-955-9355
Practice Address - Street 1:16902 SOUTHWEST FWY STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3574
Practice Address - Country:US
Practice Address - Phone:713-527-0120
Practice Address - Fax:713-527-8131
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9592208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S0959OtherBCBS OF TX INDIVIDUAL ID
7864655OtherAETNA
TX612692OtherMEDICARE
P00394119OtherRAILROAD MEDICARE
TX612692OtherMEDICARE