Abdalla, Abdelrahman M
Abdalla, Abdelrahman M is an sole proprietor health care provider with primary practice located at 911 N Shelby St , Salem IN 47167-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Abdalla, Abdelrahman M can be contacted via phone (812) 896-0108.Contact Information
Primary practice address
911 N Shelby St
Salem IN 47167-2304
Phone: (812) 896-0108
Fax: (812) 883-8556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01058910A | Indiana |
Profile Details
| NPI number | 1477729234 |
|---|---|
| LBN Legal business name | Abdalla, Abdelrahman M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2008 |
| Last updated | May 1st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477729234 | NPPES |
| Indiana | Other | 000000342198 | ANTHEM BLUE CROSS BLUE SHIELD |
| Indiana | MEDICAID | 200478450 | ANTHEM BLUE CROSS BLUE SHIELD |
| Indiana | Other | 01058910A | ANTHEM BLUE CROSS BLUE SHIELD |
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