Provider Demographics
NPI:1669905865
Name:AL-SAADI, MAHMOUD (MD)
Entity type:Individual
Prefix:
First Name:MAHMOUD
Middle Name:
Last Name:AL-SAADI
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 1:1710 OLD ALVIN RD APT 8203
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3020
Mailing Address - Country:US
Mailing Address - Phone:210-216-4797
Mailing Address - Fax:
Practice Address - Street 1:1818 MEMORIAL DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8383
Practice Address - Country:US
Practice Address - Phone:210-216-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301500607207R00000X, 207RI0200X
390200000X
TXU6667207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program