Individual
ABDULELAH Y ABU QARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W ANTELOPE DR, LAYTON, UT 84041-1142
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11243
NV
207R00000X
Internal Medicine Physician
Primary
7838948-1205
UT
208M00000X
Hospitalist Physician
11243
NV
208M00000X
Hospitalist Physician
7838948-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100500484
GROUP MEDICAID
NV
05
—
100505455
—
NV
01
—
WQBHV
GROUP MEDICARE
NV
Enumeration date
05/03/2006
Last updated
11/10/2021
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