Individual
MUSA ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
Mailing address
6435 W JEFFERSON BLVD PMB 109, FORT WAYNE, IN 46804-6203
(260) 344-4035
(260) 969-9272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201096160
—
IN
Enumeration date
05/12/2011
Last updated
11/20/2023
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