Individual
DR. ADIL H AL-HUMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2223 W STATE ST, SUITE 117, OLEAN, NY 14760-1938
(716) 372-9629
(716) 372-9638
Mailing address
2223 W STATE ST, SUITE 117, OLEAN, NY 14760-1938
(716) 372-9629
(716) 372-9638
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
120097-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010001801
UNIVERA
—
01
—
000506398001
BLUE CROSS
NY
01
—
001304052
PA BLUE SHIELD
—
05
—
00604480
—
NY
01
—
1401542
IHA
NY
01
—
283015003
TRAVELERS MDB
—
Enumeration date
08/09/2005
Last updated
02/23/2010
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