Provider Demographics
NPI:1679927024
Name:SAKKALAEK, ADEEB (MD)
Entity type:Individual
Prefix:
First Name:ADEEB
Middle Name:
Last Name:SAKKALAEK
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 1:6431 FANNIN ST STE MSB 1434
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:832-325-7222
Mailing Address - Fax:713-500-6829
Practice Address - Street 1:6431 FANNIN ST STE MSB 1434
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:832-325-7222
Practice Address - Fax:713-500-6829
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-21
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR9680208M00000X, 207R00000X
FLTRN22738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist