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Individual

SHIVON ABDULLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
265 BROOKVIEW CENTRE WAY, STE 400, KNOXVILLE, TN 37919-4052
(865) 769-6671

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01075175A
IN
207L00000X
Anesthesiology Physician
Primary
036.158833
IL
207L00000X
Anesthesiology Physician
46157
IL
207L00000X
Anesthesiology Physician
91682
SC
207L00000X
Anesthesiology Physician
MD-46157
IA

Other

Enumeration date
05/27/2009
Last updated
06/17/2024
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