Provider Demographics
NPI:1518639657
Name:ELNAEEM, AWAB KAMAL MAHMOUD (MB,BS)
Entity Type:Individual
Prefix:DR
First Name:AWAB
Middle Name:KAMAL MAHMOUD
Last Name:ELNAEEM
Suffix:
Gender:M
Credentials:MB,BS
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Mailing Address - Street 1:301 UNIVERSITY BLVD # 9.128
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0539
Mailing Address - Country:US
Mailing Address - Phone:409-772-8031
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD # 9.128
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0539
Practice Address - Country:US
Practice Address - Phone:409-772-8031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP100744152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology