Provider Demographics
NPI:1801803069
Name:ABDULLAH, ARIF BIN (MD)
Entity type:Individual
Prefix:
First Name:ARIF
Middle Name:BIN
Last Name:ABDULLAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601 RIVER POINTE DR
Mailing Address - Street 2:STE 105
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2945
Mailing Address - Country:US
Mailing Address - Phone:936-539-5577
Mailing Address - Fax:936-539-5550
Practice Address - Street 1:601 RIVER POINTE DR
Practice Address - Street 2:STE 105
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2945
Practice Address - Country:US
Practice Address - Phone:936-539-5577
Practice Address - Fax:936-539-5550
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2019-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM3831207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNPIOther1801803069
TXNPIOther1801803069