Provider Demographics
NPI:1902991334
Name:MUAYAD, MOHAMAD SALEM (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMAD
Middle Name:SALEM
Last Name:MUAYAD
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 1:4201 GARTH RD.
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521
Mailing Address - Country:US
Mailing Address - Phone:281-420-9500
Mailing Address - Fax:281-420-9600
Practice Address - Street 1:4201 GARTH RD.
Practice Address - Street 2:SUITE 208
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521
Practice Address - Country:US
Practice Address - Phone:281-420-9500
Practice Address - Fax:281-420-9600
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3016207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00521MMedicare ID - Type UnspecifiedMEDICARE