Individual
ELTIGANI M ABDELHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 533-6645
(770) 535-2642
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0067148
CO
207R00000X
Internal Medicine Physician
MD00043077
WA
208M00000X
Hospitalist Physician
061685
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01237654
AMERIGROUP
GA
01
—
110029C0551229
TRAILBLAZERS
GA
01
—
2945742
CIGNA
GA
01
—
459788
WELLCARE
GA
01
—
52253417
BCBS
GA
05
—
662789161A
—
GA
05
—
662789161B
—
GA
05
—
662789161C
—
GA
05
—
662789161F
—
GA
01
—
7740605
AETNA
GA
01
—
P11806575
MEDICARE RAILROAD
GA
Enumeration date
11/20/2006
Last updated
10/11/2023
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