Organization
ABDINOOR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDILLAHI M ABDINOOR MD (OWNER)
(314) 749-0863
Entity
Organization
Contact information
Practice address
1819 BRAEMAR DR, FORT WAYNE, IN 46814-9364
(314) 749-0863
Mailing address
1819 BRAEMAR DR, FORT WAYNE, IN 46814-9364
(314) 749-0863
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01076014A
IN
Other
Enumeration date
07/09/2016
Last updated
07/09/2016
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