Abdulfattah, Qahtan A

Abdulfattah, Qahtan A is an sole proprietor health care provider with primary practice located at 11323 Cortez Blvd , Brooksville FL 34613-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as his primary health care specialty. Abdulfattah, Qahtan A can be contacted via phone (352) 596-8344.

Contact Information

Primary practice address
11323 Cortez Blvd Brooksville FL 34613-5407
Phone: (352) 596-8344
Fax: (352) 597-2898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X ME92671 Florida

Profile Details

NPI number 1558370411
LBN Legal business name Abdulfattah, Qahtan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558370411 NPPES
Florida Other P01426390 RAILROAD MCR LINKED TO GRP#DR6927
Florida Other 311869 RAILROAD MCR LINKED TO GRP#DR6927
Florida Other 316584 RAILROAD MCR LINKED TO GRP#DR6927
Florida MEDICAID 000238700 RAILROAD MCR LINKED TO GRP#DR6927
Florida Other 03396 RAILROAD MCR LINKED TO GRP#DR6927

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