Abdussalam, Abdullah

Abdussalam, Abdullah is an individual health care provider with primary practice located at 2302 Lone Star Rd Ste 200 , Mansfield TX 76063-8751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Abdussalam, Abdullah can be contacted via phone (682) 341-7210.

Contact Information

Primary practice address
2302 Lone Star Rd Ste 200 Mansfield TX 76063-8751
Fax: (682) 341-7212
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036169814 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X S1745 Texas

Profile Details

NPI number 1932442613
LBN Legal business name Abdussalam, Abdullah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Jun 10th, 2024 - about last year

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 1932442613 NPPES
Texas MEDICAID 1932442613

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