Provider Demographics
NPI:1730260035
Name:AL-ADLI, NAIM M (MD)
Entity type:Individual
Prefix:DR
First Name:NAIM
Middle Name:M
Last Name:AL-ADLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NAIM
Other - Middle Name:M
Other - Last Name:AL-ADLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14019 SOUTHWEST FWY
Mailing Address - Street 2:#301-330
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3563
Mailing Address - Country:US
Mailing Address - Phone:281-265-8500
Mailing Address - Fax:281-265-8588
Practice Address - Street 1:13020 DAIRY ASHFORD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3151
Practice Address - Country:US
Practice Address - Phone:281-265-8500
Practice Address - Fax:281-265-8588
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3056207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113702801Medicaid
TX113702801Medicaid
TX00Z974Medicare PIN