Individual
DR. MUKEMIL ABDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 229, GLENN DALE, MD 20769-9180
(240) 245-4421
(240) 245-4424
Mailing address
12200 ANNAPOLIS RD, SUITE 229, GLENN DALE, MD 20769-9180
(240) 245-4421
(240) 245-4424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0059981
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036237200
—
DC
01
—
1376604926
GROUP NPI
DC
01
—
2115095
ALLIANCE/MAMSI
MD
01
—
2119347
FIRST HEALTH
MD
01
—
3237294
AETNA
MD
05
—
403013300
—
MD
01
—
617873
NATIONAL CAPITAL PPO
MD
01
—
810621843
TAX ID
MD
01
—
J1200001
DC BC BS
DC
01
—
KFS6MU
MD BC BS
MD
Enumeration date
08/30/2006
Last updated
05/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us