Individual
DR. MUKEMIL ABDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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