Provider Demographics
NPI:1457397978
Name:ABD-EL MALEK, HANY SAMIR (MD)
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:SAMIR
Last Name:ABD-EL MALEK
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 1:2455 DUNSTAN RD APT 509
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2316
Mailing Address - Country:US
Mailing Address - Phone:713-838-7199
Mailing Address - Fax:
Practice Address - Street 1:2455 DUNSTAN RD APT 509
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2316
Practice Address - Country:US
Practice Address - Phone:713-859-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2072207LC0200X
FLME87168207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156644003Medicaid
TX8V3833OtherBLUE CROSS BLUE SHIELD
TXP00695266OtherRR MEDICARE
TXP00695266OtherRR MEDICARE
TXH79773Medicare UPIN