Individual
SHERIF G. NOUR ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, DEPT OF RADIOLOGY, EUHOSPITAL, SUITE BG-48, ATLANTA, GA 30322-1059
(404) 712-1868
(404) 712-1871
Mailing address
1364 CLIFTON RD NE, DEPT OF RADIOLOGY, SUITE BG-48, ATLANTA, GA 30322-1059
(404) 778-3164
(404) 712-1871
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
061627
GA
2085R0202X
Diagnostic Radiology Physician
35-084413
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206507
UNISON
OH
01
—
000000503583
ANTHEM
OH
01
—
0304914
BCMH
OH
05
—
2354205
—
OH
01
—
383883
WELLCARE
OH
01
—
734995
BUCKEYE
OH
01
—
7450447
AETNA
OH
01
—
P00001777
RAILROAD MEDICARE
OH
01
—
P00358821
RAILROAD MEDICARE
OH
Enumeration date
07/10/2006
Last updated
05/27/2010
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