Provider Demographics
NPI:1538850912
Name:ALHANBALI, ABDULRAHMAN EBA'A HAMDI (MD)
Entity type:Individual
Prefix:
First Name:ABDULRAHMAN
Middle Name:EBA'A HAMDI
Last Name:ALHANBALI
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 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555
Mailing Address - Country:US
Mailing Address - Phone:409-747-0534
Mailing Address - Fax:409-747-0721
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555
Practice Address - Country:US
Practice Address - Phone:409-772-3695
Practice Address - Fax:409-772-3680
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2024-01-16
Deactivation Date:2023-12-21
Deactivation Code:
Reactivation Date:2024-01-16
Provider Licenses
StateLicense IDTaxonomies
TXBP10084513208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics