Provider Demographics
NPI:1457364143
Name:HAMEED, MOHAMMED ABDUL (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:ABDUL
Last Name:HAMEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOHD
Other - Middle Name:ABDUL
Other - Last Name:HAMEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2655 W BAKER RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2206
Mailing Address - Country:US
Mailing Address - Phone:281-425-9205
Mailing Address - Fax:281-422-9408
Practice Address - Street 1:2655 W BAKER RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2206
Practice Address - Country:US
Practice Address - Phone:281-425-9205
Practice Address - Fax:281-422-9408
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0803207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136509010Medicaid
TX8F22386Medicare PIN
TX136509010Medicaid
TXG34045Medicare UPIN
TX0A4939Medicare PIN