Provider Demographics
NPI:1871350934
Name:MICHAEL ABDELSAYED DO
Entity type:Organization
Organization Name:MICHAEL ABDELSAYED DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ABDELSAYED
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:877-955-9355
Mailing Address - Street 1:PO BOX 18468
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8468
Mailing Address - Country:US
Mailing Address - Phone:877-955-9355
Mailing Address - Fax:877-955-9355
Practice Address - Street 1:16902 SOUTHWEST FWY STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3574
Practice Address - Country:US
Practice Address - Phone:877-955-9355
Practice Address - Fax:877-955-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184650301Medicaid