Provider Demographics
NPI:1255530119
Name:AL-JANABI, HASAN AHMAD (MD)
Entity type:Individual
Prefix:
First Name:HASAN
Middle Name:AHMAD
Last Name:AL-JANABI
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 1:1111 MEDICAL PLAZA DR STE 250
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3477
Mailing Address - Country:US
Mailing Address - Phone:281-296-8788
Mailing Address - Fax:815-937-2179
Practice Address - Street 1:8845 SIX PINES DR STE 203
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-4296
Practice Address - Country:US
Practice Address - Phone:281-296-8788
Practice Address - Fax:281-465-4569
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.143470207RC0200X, 207RP1001X
TXU8613207RP1001X
MI4301089206207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036143470Medicaid
MI1255530119Medicaid