Tidal, Abubakar H

Tidal, Abubakar H is an individual health care provider with primary practice located at 214 Hospital Rd , Whitesburg KY 41858-7627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tidal, Abubakar H can be contacted via phone (606) 633-3631.

Contact Information

Primary practice address
214 Hospital Rd Whitesburg KY 41858-7627
Phone: (606) 633-3631
Fax: (606) 633-6204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19121 Kentucky

Profile Details

NPI number 1548253925
LBN Legal business name Tidal, Abubakar H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548253925 NPPES
Kentucky MEDICAID 64191216

Popular Providers