Altayeh, Abdullah
Altayeh, Abdullah is an individual health care provider with primary practice located at 2350 N Rockton Ave Rockford Health Physicians, Rockford IL 61103-3619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Altayeh, Abdullah can be contacted via phone (815) 971-2000.Contact Information
Primary practice address
2350 N Rockton Ave Rockford Health Physicians
Rockford IL 61103-3619
Phone: (815) 971-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-112478 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52143 | Minnesota |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036112478 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036112478 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 104298 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22594 | West Virginia |
Profile Details
| NPI number | 1831191584 |
|---|---|
| LBN Legal business name | Altayeh, Abdullah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Mar 9th, 2011 - about 14 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 | 1831191584 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | 000000270600 | |
| Minnesota | MEDICAID | 036-112478-1 | |
| Minnesota | MEDICAID | 2932518 |
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