Abdussalam, Abdullah
Abdussalam, Abdullah is an individual health care provider with primary practice located at 2302 Lone Star Rd Ste 200 , Mansfield TX 76063-8751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Abdussalam, Abdullah can be contacted via phone (682) 341-7210.Contact Information
Primary practice address
2302 Lone Star Rd Ste 200
Mansfield TX 76063-8751
Phone: (682) 341-7210
Fax: (682) 341-7212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036169814 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | S1745 | Texas |
Profile Details
| NPI number | 1932442613 |
|---|---|
| LBN Legal business name | Abdussalam, Abdullah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2013 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1932442613 | NPPES |
| Texas | MEDICAID | 1932442613 |
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