Abdalla, Abdelrahman M

Abdalla, Abdelrahman M is an sole proprietor health care provider with primary practice located at 911 N Shelby St , Salem IN 47167-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Abdalla, Abdelrahman M can be contacted via phone (812) 896-0108.

Contact Information

Primary practice address
911 N Shelby St Salem IN 47167-2304
Phone: (812) 896-0108
Fax: (812) 883-8556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01058910A Indiana

Profile Details

NPI number 1477729234
LBN Legal business name Abdalla, Abdelrahman M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477729234 NPPES
Indiana Other 000000342198 ANTHEM BLUE CROSS BLUE SHIELD
Indiana MEDICAID 200478450 ANTHEM BLUE CROSS BLUE SHIELD
Indiana Other 01058910A ANTHEM BLUE CROSS BLUE SHIELD

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