Provider Demographics
NPI:1538109368
Name:ALIBHAI, NADYA HASHAM (DO)
Entity Type:Individual
Prefix:
First Name:NADYA
Middle Name:HASHAM
Last Name:ALIBHAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NADYABANU
Other - Middle Name:ABDULMALIK
Other - Last Name:HASHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:7010 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4995
Practice Address - Country:US
Practice Address - Phone:713-442-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1130207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174502802Medicaid
I30894Medicare UPIN
TX346417YKTXMedicare PIN
TX8D5107Medicare PIN