Provider Demographics
NPI:1174979157
Name:ABDELMAGID, HIYAM (MD)
Entity type:Individual
Prefix:
First Name:HIYAM
Middle Name:
Last Name:ABDELMAGID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 HILLBROOKE TRL STE 2
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-7914
Mailing Address - Country:US
Mailing Address - Phone:850-878-2637
Mailing Address - Fax:
Practice Address - Street 1:1910 HILLBROOKE TRL STE 2
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-7914
Practice Address - Country:US
Practice Address - Phone:850-878-2637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH75028181207R00000X
OH57028181207R00000X
FLME140899207RB0002X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program