Provider Demographics
NPI:1053676049
Name:ALARHAYEM, ABDULQADER SUFYAN (MD)
Entity type:Individual
Prefix:DR
First Name:ABDULQADER
Middle Name:SUFYAN
Last Name:ALARHAYEM
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 KELLER PKWY UNIT 3008
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3749
Mailing Address - Country:US
Mailing Address - Phone:210-784-7281
Mailing Address - Fax:
Practice Address - Street 1:1710 KELLER PKWY UNIT 3008
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3749
Practice Address - Country:US
Practice Address - Phone:210-784-7281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT41042086S0129X
MO20220110412086S0129X
WY16292A2086S0129X
AZ598002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1053676049Medicaid