Individual provider Active NPI

Abdulrahman Aledan, MD

  • Facial Plastic Surgery Physician
  • Galveston, TX
National Provider Identifier
1437910106
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
BP10086506 Issued in TX
Practice address
404 Saint Marys Blvd
Galveston, TX 77550-5206
Phone
(409) 945-2714
NPI assigned
Jan 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X BP10086506 TX Primary

Addresses

Primary practice location

404 Saint Marys Blvd
Galveston, TX 77550-5206

Mailing address

3131 Timmons LN Apt 2126
Houston, TX 77027-6080

Other practice location 1

2100 West Loop S
Houston, TX 77027-3515
Phone (713) 526-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10086506TXMDFacial Plastic Surgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1437910106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 TIMMONS LN APT 2126",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SAINT MARYS BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775505206",
            "telephone_number": "409-945-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 West Loop S",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770273515",
            "country_code": "US",
            "telephone_number": "713-526-5665",
            "fax_number": "713-526-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEDAN",
        "first_name": "ABDULRAHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "BP10086506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.