Individual
AHLAM ABUKHDEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 647-2345
Mailing address
6308 WHITEWAY DR, TEMPLE TERRACE, FL 33617-3109
(813) 403-2074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112261
FL
363AM0700X
Medical Physician Assistant
Primary
MA064618
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104405900
—
FL
01
—
OIN4B
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/16/2019
Last updated
10/09/2023
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