| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HISHAM ABDELMONEM AHMED ABDELMOTILIB | 1417445677 | 2024-04-05 |
Hisham Abdelmonem Ahmed Abdelmotilib is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417445677. Registration indicates Hisham Abdelmonem Ahmed Abdelmotilib is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Hisham Abdelmonem Ahmed Abdelmotilib MD, PHD |
| Practice Office Address | 6431 FANNIN ST STE JJL 310 HOUSTON, TX US |
| Practice Office Telephone | 7135005151 |
| Practice Office Fax | 7135000612 |
| Mailing Address | 5556 NEW TERRITORY BLVD APT 10108 SUGAR LAND, TX 774796556 US |
| Business Telephone | 2052433283 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 200 Hawkins Dr Dept Of | Iowa City, IA 522421009 | 3193562580 / 3193848476 |
| 9110 College Pointe Ct | Fort Myers, FL 339193244 | 2392082212 |
| 11215 Metro Pkwy Ste 1 | Fort Myers, FL 339661206 | 2392082212 |
| Code | Practice | License No State |
|---|---|---|
| 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | ME158739
FL |
| 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | BP10077870
TX |
| 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | T9043
TX |
| 2084N0400X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | 11093
IA |