Provider Demographics
NPI:1801295977
Name:ALBANYAN, ESAM ABDULLAH (MBBS)
Entity type:Individual
Prefix:DR
First Name:ESAM
Middle Name:ABDULLAH
Last Name:ALBANYAN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 22490 KING ABDULAZIZ MEDICAL CITY-NGHA
Mailing Address - Street 2:DEPT. OF PEDIATRICS MC1510
Mailing Address - City:RIYADH
Mailing Address - State:KHASHM ALAAN
Mailing Address - Zip Code:11426
Mailing Address - Country:SA
Mailing Address - Phone:966118-011-1111
Mailing Address - Fax:
Practice Address - Street 1:22490 KING ABDULAZIZ MEDICAL CITY-NGHA
Practice Address - Street 2:DEPT. OF PEDIATRICS MC1510
Practice Address - City:RIYADH
Practice Address - State:KHASHM ALAAN
Practice Address - Zip Code:11426
Practice Address - Country:SA
Practice Address - Phone:966118-011-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301073490208000000X
ND8160208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases