Abdo, Hatem S
Abdo, Hatem S is an individual health care provider with primary practice located at 19 Fontana Ln Ste 206, Baltimore MD 21237-3047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Abdo, Hatem S can be contacted via phone (410) 391-6904.Contact Information
Primary practice address
19 Fontana Ln Ste 206
Baltimore MD 21237-3047
Phone: (410) 391-6904
Fax: (410) 686-6640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | D0019448 | Maryland |
Profile Details
| NPI number | 1053352492 |
|---|---|
| LBN Legal business name | Abdo, Hatem S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 14th, 2014 - about 10 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 | 1053352492 | NPPES |
| Maryland | Other | LK36 / 350598-02 | BC / BS OF MD |
| Maryland | MEDICAID | 408351200 | BC / BS OF MD |
| Maryland | Other | 461P 894G | BC / BS OF MD |
| Maryland | Other | S186 / 0006 | BC / BS OF MD |
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