Hamadah, Abdurrahman M
Hamadah, Abdurrahman M is an individual health care provider with primary practice located at 1001 E Superior St Ste L201 , Duluth MN 55802-2207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hamadah, Abdurrahman M can be contacted via phone (218) 249-5555.Contact Information
Primary practice address
1001 E Superior St Ste L201
Duluth MN 55802-2207
Phone: (218) 249-5555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 55301 | Minnesota |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036.143770 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.143770 | Illinois |
Profile Details
| NPI number | 1013203561 |
|---|---|
| LBN Legal business name | Hamadah, Abdurrahman M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2011 |
| Last updated | Aug 12th, 2021 - about 5 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 | 1013203561 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | Other | P01103375 | |
| Minnesota | MEDICAID | ENROLLED |
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