Dawod, Abdallah S
Dawod, Abdallah S is an individual health care provider with primary practice located at 304 S Park Ln Suite B, Altus OK 73521-5753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dawod, Abdallah S can be contacted via phone (580) 379-6550.Contact Information
Primary practice address
304 S Park Ln Suite B
Altus OK 73521-5753
Phone: (580) 379-6550
Fax: (580) 379-6559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24330 | Oklahoma |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 24330 | Oklahoma |
Profile Details
| NPI number | 1174519771 |
|---|---|
| LBN Legal business name | Dawod, Abdallah S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Dec 1st, 2016 - about 10 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 | 1174519771 | NPPES |
| Oklahoma | MEDICAID | 200053860A | |
| Oklahoma | Other | 200053860B |
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