Individual provider · NPI-1
Mohamad Khaled Abouelnaaj
Internal Medicine · Austin, TX
NPI number1497507156
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1497507156
- Entity type
- Individual (NPI-1)
- Name
- Mohamad Khaled Abouelnaaj
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | BP10088141 | TX | Yes |
Practice location
1500 Red River StAustin, TX 78701-1918
Phone 512-324-7000
Mailing address
1501 Red River St Fl 2Austin, TX 78712-1845
Phone 512-495-5555
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