MAHMOUD GOUDA ABDELRAHMAN ABDELSALAM
NPI 1053970640
Student in an Organized Health Care Education/Training Program in Houston, TX

Q: What is Mahmoud Abdelsalam's NPI number?

The NPI number for Mahmoud Abdelsalam is 1053970640. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Q: What is Mahmoud Abdelsalam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 07, 2019PECOS Enrolled

6550 FANNIN ST STE 1801, HOUSTON, TX 77030(346) 238-0115 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mahmoud Gouda Abdelrahman Abdelsalam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHMOUD GOUDA ABDELRAHMAN ABDELSALAM (NPI 1053970640) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1053970640

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMAHMOUD GOUDA ABDELRAHMAN ABDELSALAM

Location Address6550 FANNIN ST STE 1801Houston, TX 77030-2744

Mailing Address3100 Maccorkle Ave Se Ste 101Charleston, WV 25304-1215 · (304) 388-8200 · Fax (304) 388-7087

Phone(346) 238-0115

Sole ProprietorNo

Enumeration DateJune 7, 2019

Last NPPES UpdateApril 15, 2025

NPPES CertifiedApril 15, 2025

✔ NPI 1053970640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6550 FANNIN ST STE 1801, Houston, TX 77030

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Secondary Practice Location 1

Location 13100 MacCorkle Ave SE Ste 101Charleston, WV 25304-1215 · Phone (304) 388-8200 · Fax (304) 388-7087

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahmoud Gouda Abdelrahman Abdelsalam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROHAN CHANDRESHKUMAR SHAH MD

Student in an Organized Health Care Education/Training Program