| Wassim T Radwan Abd El Wahab, MD | |
|
1105 Central Expy N Ste 360, Allen, TX 75013-6111 | |
| (972) 747-6042 | |
| (972) 747-6043 |
| Full Name | Wassim T Radwan Abd El Wahab |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 6 Years |
| Location | 1105 Central Expy N Ste 360, Allen, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629208434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-7609 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | E-7609 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | U3441 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi-st Vincent Infirmary | Little rock, AR | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Navarro Regional Hospital | Corsicana, TX | Hospital |
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sebastian Physician Services, Pllc | 5294178448 | 46 |
| Flagg Emergency Group, Pllc | 5698008019 | 11 |
| St Vincent Medical Group | 5698758803 | 205 |
| Crawford Physician Services Pllc | 7517310014 | 8 |
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| Comprehensive Hospitalist Services Of Texas Pllc | 8022150036 | 8 |
| Northern Alabama Physicians, Llp | 0143379388 | 17 |
| Entity Name | St Marys Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932118890 PECOS PAC ID: 7911802079 Enrollment ID: O20040726000650 |
| Entity Name | Southeast Arkansas Hospitalists Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912374018 PECOS PAC ID: 9537479605 Enrollment ID: O20151103000750 |
| Entity Name | Hospital Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396284105 PECOS PAC ID: 8123304367 Enrollment ID: O20170424001913 |
| Entity Name | Crawford Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346029204 PECOS PAC ID: 7517310014 Enrollment ID: O20240131004412 |
| Entity Name | Sebastian Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255110110 PECOS PAC ID: 5294178448 Enrollment ID: O20240205003889 |
| Entity Name | Arkansas Post Discharge Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851152029 PECOS PAC ID: 0345686861 Enrollment ID: O20240306004442 |
| Mailing Address | Practice Location Address |
|---|---|
| Wassim T Radwan Abd El Wahab, MD 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 851-7402 | Wassim T Radwan Abd El Wahab, MD 1105 Central Expy N Ste 360, Allen, TX 75013-6111 Ph: (972) 747-6042 |
Dr. Yamini K Maddala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 981 State Highway 121, Suite 1140, Allen, TX 75013 Phone: 469-697-5100 Fax: 469-697-5105 | |
Kathryn Anne White, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1105 Central Expy N Ste 235, Allen, TX 75013 Phone: 972-747-6042 | |
Dr. Olubukola Aduke Okoro, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 Stockton Dr Unit 6100, Allen, TX 75013 Phone: 972-390-7667 Fax: 972-390-1557 | |
Deepti Dhavaleshwar, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 981 State Highway 121, Suite 1140, Allen, TX 75013 Phone: 469-697-5100 Fax: 469-697-5105 | |
Asif A Muhammad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 W Exchange Pkwy, Suite 100, Allen, TX 75013 Phone: 214-383-0938 Fax: 214-383-9851 | |
Dr. Teresa Dewlett Rajala, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1314 W Mcdermott Dr, Suite 106, Pmb 808, Allen, TX 75013 Phone: 469-252-0022 Fax: 214-383-9587 | |
Dr. Ferzana Mir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 Central Expy N, Suite 2360, Allen, TX 75013 Phone: 972-838-1892 |