Abdalla, Eddie K.
Abdalla, Eddie K. is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Suite 170, Atlanta GA 30342-1626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Abdalla, Eddie K. can be contacted via phone (404) 300-2140.Contact Information
Primary practice address
980 Johnson Ferry Rd Suite 170
Atlanta GA 30342-1626
Phone: (404) 300-2140
Fax: (404) 300-2240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | K7959 | Texas |
Profile Details
| NPI number | 1235225889 |
|---|---|
| LBN Legal business name | Abdalla, Eddie K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Oct 13th, 2020 - about 4 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 | 1235225889 | NPPES |
| Texas | Other | 84691X | BCBS |
| Texas | MEDICAID | 37438101 | BCBS |
| Texas | Other | 020043965 | BCBS |
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