Abdullah, Shukri
Abdullah, Shukri is an sole proprietor health care provider with primary practice located at 1200 Riverplace Blvd Suite: 620, Jacksonville FL 32207-9046. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Abdullah, Shukri can be contacted via phone (904) 396-6620.Contact Information
Primary practice address
1200 Riverplace Blvd Suite: 620
Jacksonville FL 32207-9046
Phone: (904) 396-6620
Fax: (904) 396-6528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME108424 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A96702 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2018042049 | Missouri |
Profile Details
| NPI number | 1861444879 |
|---|---|
| LBN Legal business name | Abdullah, Shukri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Jan 19th, 2021 - about 3 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 | 1861444879 | NPPES |
| California | Other | A96702 | MEDICAL LICENSE |
| California | Other | 0-608-847-0 | MEDICAL LICENSE |
| California | MEDICAID | 00A967020 | MEDICAL LICENSE |
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