Individual
ANWAR ABDELHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 E CHAPMAN AVE, ORANGE, CA 92869
(714) 771-8000
Mailing address
2501 E CHAPMAN AVE, ORANGE, CA 92869-3204
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A63976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110194523
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
1912919804
NPI - TYPE 2
—
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
01
—
WA63976D
PTAN
CA
Enumeration date
03/14/2006
Last updated
09/25/2018
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