Provider Demographics
NPI:1891142899
Name:AGEEDI, WALEED KHALID ABBAS (MD)
Entity Type:Individual
Prefix:
First Name:WALEED
Middle Name:KHALID ABBAS
Last Name:AGEEDI
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 1:1850 OLD MAIN ST APT 2801
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2225
Mailing Address - Country:US
Mailing Address - Phone:713-894-3284
Mailing Address - Fax:
Practice Address - Street 1:1850 OLD MAIN ST APT 2801
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2225
Practice Address - Country:US
Practice Address - Phone:713-894-3284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program