Abdulle, Abucar Adan

Abdulle, Abucar Adan is an sole proprietor health care provider with primary practice located at 12761 Darby Brook Ct Ste 101, Woodbridge VA 22192-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abdulle, Abucar Adan can be contacted via phone (703) 730-5064.

Contact Information

Primary practice address
12761 Darby Brook Ct Ste 101 Woodbridge VA 22192-2405
Phone: (703) 730-5064
Fax: (571) 408-4308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101046722 Virginia

Profile Details

NPI number 1073659900
LBN Legal business name Abdulle, Abucar Adan
Credentials INTERNAL MEDICINE MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Feb 15th, 2017 - about 9 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 1073659900 NPPES
Virginia MEDICAID 005844266

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