Provider Demographics
NPI:1821230780
Name:ABIDI, WASIF M (MD, PHD)
Entity Type:Individual
Prefix:
First Name:WASIF
Middle Name:M
Last Name:ABIDI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:WASIF
Other - Middle Name:M
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7200 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 10C (CARE OF SHELINA VELANI)
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4202
Mailing Address - Country:US
Mailing Address - Phone:713-798-0950
Mailing Address - Fax:713-798-0951
Practice Address - Street 1:7200 CAMBRIDGE ST
Practice Address - Street 2:SUITE 10C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4202
Practice Address - Country:US
Practice Address - Phone:713-798-0950
Practice Address - Fax:713-798-0951
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9930207R00000X, 207RG0100X
MT50225207RG0100X
MT390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program