Individual
MOHAMAD ABDALLA
Active
Individual
MOHAMAD ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A77865
CA
207L00000X
Anesthesiology Physician
Primary
P8104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8ED613
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/29/2006
Last updated
07/27/2022
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