Provider Demographics
NPI:1598388282
Name:ABU-JAZAR, DEAA AL-DAEN NAHID HASSAN (M D)
Entity Type:Individual
Prefix:
First Name:DEAA AL-DAEN
Middle Name:NAHID HASSAN
Last Name:ABU-JAZAR
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD. - JSA 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:409-772-6940
Practice Address - Street 1:301 UNIVERSITY BLVD. - JSA 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:409-772-6940
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program