Provider Demographics
NPI:1477057040
Name:AL-BAYAN, MALIYHAH (MD)
Entity Type:Individual
Prefix:
First Name:MALIYHAH
Middle Name:
Last Name:AL-BAYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 ROSA L PARKS BLVD APT 102
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3092
Mailing Address - Country:US
Mailing Address - Phone:862-215-5027
Mailing Address - Fax:
Practice Address - Street 1:3610 STAGG DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3739
Practice Address - Country:US
Practice Address - Phone:409-923-0012
Practice Address - Fax:409-291-8010
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU0289207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology