Organization
MUKEMIL ABDELLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKEMIL ABDELLA MD (MD)
(240) 245-4421
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 229, GLENN DALE, MD 20769-9180
(240) 245-4421
(240) 245-4424
Mailing address
12200 ANNAPOLIS RD, SUITE 229, GLENN DALE, MD 20769-9180
(240) 245-4421
(240) 245-4424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0059981
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036237200
—
DC
01
—
1871603381
INDIVIDUAL NPI NUMBER
DC
01
—
2115095
ALLIANCE
MD
01
—
2119347
FIRST HEALTH
MD
01
—
3237294
AETNA
MD
05
—
403013300
—
MD
01
—
617873
NATIONAL CAPITAL PPO
MD
01
—
J120001
DC BC BS
DC
01
—
KFS6MU
MD BC BS
MD
Enumeration date
12/13/2006
Last updated
01/20/2010
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