Organization
NABIL K ABUDAYEH MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL K ABUDAYEH MD (OWNER)
(510) 886-6878
Entity
Organization
Contact information
Practice address
20700 LAKE CHABOT RD, SUITE 107, CASTRO VALLEY, CA 94546-5401
(510) 886-6878
(510) 886-0268
Mailing address
20700 LAKE CHABOT RD, SUITE 107, CASTRO VALLEY, CA 94546-5401
(510) 886-6878
(510) 886-0268
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G059072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G590720
—
CA
01
—
110245276
RAILROAD MEDICARE
CA
01
—
1699724484
TYPE 1 NPI
—
Enumeration date
09/28/2007
Last updated
09/19/2023
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