Abdullah, Raied

Abdullah, Raied is an individual health care provider with primary practice located at 3229 Broadway Suite 205, Gary IN 46409-1036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Abdullah, Raied can be contacted via phone (219) 887-4950.

Contact Information

Primary practice address
3229 Broadway Suite 205 Gary IN 46409-1036
Phone: (219) 887-4950
Fax: (219) 887-4955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01052588A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01052558 Indiana

Profile Details

NPI number 1063417657
LBN Legal business name Abdullah, Raied
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Feb 14th, 2014 - about 12 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 1063417657 NPPES
Indiana MEDICAID 200264560

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