Provider Demographics
NPI:1629208434
Name:RADWAN ABD EL WAHAB, WASSIM T (MD)
Entity type:Individual
Prefix:
First Name:WASSIM
Middle Name:T
Last Name:RADWAN ABD EL WAHAB
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 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-851-7402
Mailing Address - Fax:501-851-4753
Practice Address - Street 1:1105 CENTRAL EXPY N STE 360
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6111
Practice Address - Country:US
Practice Address - Phone:972-747-6042
Practice Address - Fax:972-747-6043
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-7609207R00000X, 208M00000X
TXU3441207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist