Individual
ABUHUZIEFA ABUBAKR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST STE 5254, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-2678
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
215175
NY
2084N0600X
Clinical Neurophysiology Physician
21821
MS
2084N0600X
Clinical Neurophysiology Physician
25MA07286300
NJ
2084N0600X
Clinical Neurophysiology Physician
Primary
35.080807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438367
—
OH
05
—
1564923
—
LA
05
—
4836155
—
NY
05
—
8658307
—
NJ
01
—
P01236082
RR MEDICARE
MS
Enumeration date
07/28/2005
Last updated
01/13/2022
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