Provider Demographics
NPI:1730133190
Name:ABU-HIJLEH, MUHANNED A (MD)
Entity Type:Individual
Prefix:
First Name:MUHANNED
Middle Name:A
Last Name:ABU-HIJLEH
Suffix:
Gender:M
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:UT SOUTHWESTERN MEDICAL CENTER DALLAS
Mailing Address - Street 2:5939 HARRY HINES BLVD.
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8550
Mailing Address - Country:US
Mailing Address - Phone:214-645-6446
Mailing Address - Fax:
Practice Address - Street 1:UT SOUTHWESTERN MEDICAL CENTER DALLAS
Practice Address - Street 2:5939 HARRY HINES BLVD.
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8550
Practice Address - Country:US
Practice Address - Phone:214-645-6446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10867207RC0200X, 207RP1001X
TXN7770207RS0012X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI290015094OtherRAILROAD MEDICARE
TX1730133190OtherNPI
RI9022597Medicaid
RI290015094OtherRAILROAD MEDICARE