Provider Demographics
NPI:1538587803
Name:ALABSI, HAITHAM (DO)
Entity type:Individual
Prefix:
First Name:HAITHAM
Middle Name:
Last Name:ALABSI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:855-644-6387
Mailing Address - Fax:
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:855-644-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02008321A2084A2900X, 2084N0400X
MA1302084A2900X
CA20A189342084N0400X
MI51010260042084N0400X
NJ25MB113063002084N0400X
WI2856832084N0400X
MA901302084N0400X
IL0361554942084N0400X
OH34.0134132084N0400X
NY315497-012084N0400X
WI74833-212084N0400X
AL41092084N0400X
390200000X
MA2856832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program