Individual
MOUIN S ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
(202) 877-0534
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
(202) 877-0534
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD048023
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463000
—
IA
05
—
1463000
—
IA
01
—
P00299895
RR MEDICARE
IA
Enumeration date
12/15/2005
Last updated
09/14/2020
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