Individual
AHMAD ABADULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4817 70TH AVE W, UNIVERSITY PLACE, WA 98467-3225
(253) 565-8269
Mailing address
4817 70TH AVE W, UNIVERSITY PLACE, WA 98467-3225
(253) 565-8269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00035145
WA
208M00000X
Hospitalist Physician
MD00035145
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014845
WA LABOR AND INDUSTRIES
WA
01
—
4423AB
REGENCE BLUE SHIELD
WA
05
—
8212763
—
WA
01
—
911503824
FIRST CHOICE HEALTH PLANS
WA
01
—
91150382404
KITSAP HEALTH PLANS
WA
01
—
P00199630
RAILROAD MEDICARE
WA
Enumeration date
03/02/2006
Last updated
07/19/2021
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