# MUKEMIL ABDELLA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376604926
- **Authorized official:** MUKEMIL ABDELLA MD (MD)
- **Authorized official phone:** (240) 245-4421

## Contact information

- **Practice address:** 12200 ANNAPOLIS RD, SUITE 229, GLENN DALE, MD 20769-9180
- **Practice address phone:** (240) 245-4421
- **Practice address fax:** (240) 245-4424
- **Mailing address:** 12200 ANNAPOLIS RD, SUITE 229, GLENN DALE, MD 20769-9180
- **Mailing address phone:** (240) 245-4421
- **Mailing address fax:** (240) 245-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0059981 | MD | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 01/20/2010