Provider Demographics
NPI:1396732913
Name:AL SAYYAD, MOHAMMAD MAHER (MD, FACP)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:MAHER
Last Name:AL SAYYAD
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 PINE ST STE 1D
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2450
Mailing Address - Country:US
Mailing Address - Phone:325-673-4757
Mailing Address - Fax:325-673-1626
Practice Address - Street 1:1904 PINE ST STE 1D
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2450
Practice Address - Country:US
Practice Address - Phone:325-673-4757
Practice Address - Fax:325-673-1626
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29723207RN0300X
TXK6524207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044112301Medicaid
TX60108642OtherDPS
TXBA4471429OtherDEA
TXBA4471429OtherDEA
G02651Medicare UPIN