Provider Demographics
NPI:1811341563
Name:AL-BAYATI, SAMY A (MD)
Entity type:Individual
Prefix:
First Name:SAMY
Middle Name:A
Last Name:AL-BAYATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:OSAMAH
Other - Middle Name:ALI NAEEM
Other - Last Name:AL-BAYATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4502 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4402
Mailing Address - Country:US
Mailing Address - Phone:210-358-4000
Mailing Address - Fax:210-567-6418
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-4000
Practice Address - Fax:210-567-6418
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU02902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology