Provider Demographics
NPI:1215434055
Name:ABDEL, ABDELRAHIM YAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:ABDELRAHIM
Middle Name:YAMIN
Last Name:ABDEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 BALCONES DR STE 21931
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:347-561-8153
Mailing Address - Fax:
Practice Address - Street 1:3722 WHEELER RD STE B
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6756
Practice Address - Country:US
Practice Address - Phone:706-721-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU27582084E0001X, 2084N0402X
ALMD.486432084N0402X
VA01012824042084N0402X
GA989912084N0402X
WV342112084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy