Provider Demographics
NPI:1447287404
Name:FOTEH, ABEER MUFID (DPM)
Entity type:Individual
Prefix:MISS
First Name:ABEER
Middle Name:MUFID
Last Name:FOTEH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11102 BROOK MILL CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3221
Mailing Address - Country:US
Mailing Address - Phone:281-894-2579
Mailing Address - Fax:
Practice Address - Street 1:1666 W BAKER RD STE C
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2271
Practice Address - Country:US
Practice Address - Phone:281-837-8371
Practice Address - Fax:281-837-8374
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1455213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043875602Medicaid
TX00350PMedicare ID - Type Unspecified
TXU75921Medicare UPIN