Provider Demographics
NPI:1649207143
Name:SALAHUDEEN, ABDULLA K (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDULLA
Middle Name:K
Last Name:SALAHUDEEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 437
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4009
Mailing Address - Country:US
Mailing Address - Phone:713-745-4516
Mailing Address - Fax:713-563-4491
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:UNIT 437
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4009
Practice Address - Country:US
Practice Address - Phone:713-745-4516
Practice Address - Fax:713-563-4491
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS13426207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00112001Medicaid
MS00112001Medicaid
MS110000586Medicare ID - Type Unspecified