Provider Demographics
NPI:1437400702
Name:TAYYEM, ALA'A EDDIN HISHAM SA'EED (MD)
Entity type:Individual
Prefix:
First Name:ALA'A EDDIN
Middle Name:HISHAM SA'EED
Last Name:TAYYEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 TRINITY ST STOP 804
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78712-1866
Mailing Address - Country:US
Mailing Address - Phone:512-324-7865
Mailing Address - Fax:
Practice Address - Street 1:1601 TRINITY ST STOP 804
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1866
Practice Address - Country:US
Practice Address - Phone:512-324-7865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2955208M00000X, 207RX0202X
TXBP10043733207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine