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ABDULLAH MUBARAK MD NPI 1336109925


NPI Information

NPI: 1336109925
Provider Name: ABDULLAH MUBARAK, MD
Classification: Internal Medicine - 207RT0003X
Entity Type: Individual

Specialization: Transplant Hepatology

PECOS Registration: Yes

Address:
910 E HOUSTON ST STE 550
TYLER, TX
ZIP 75702
Phone: (903) 606-8718
Get Directions

Abdullah Mubarak, MD is a transplant hepatology internal medicine in Tyler, TX with 31 years of experience. The provider is an internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. Abdullah Mubarak, MD NPI is 1336109925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

910 E HOUSTON ST STE 550
TYLER, TX
ZIP 75702-366
Phone: (903) 606-8718
Fax: (903) 606-1218

The NPI 1336109925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 11/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0008XInternal MedicineHepatologyM5390TEXASNo
2207RT0003XInternal MedicineTransplant HepatologyM5390TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1185822701MEDICAIDTEXAS
2185822706MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.