Provider Demographics
NPI:1639327885
Name:ALSUMRAIN, MOHAMMAD HASSAN (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:HASSAN
Last Name:ALSUMRAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W 38TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1017
Mailing Address - Country:US
Mailing Address - Phone:512-324-3340
Mailing Address - Fax:512-324-3341
Practice Address - Street 1:1301 W 38TH ST STE 400
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1017
Practice Address - Country:US
Practice Address - Phone:512-324-3340
Practice Address - Fax:512-324-3341
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4879207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty