Individual
DR. SAM ABDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4170
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20404
WV
207P00000X
Emergency Medicine Physician
Primary
4301088857
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538615
ANTHEM
OH
01
—
001723882
WV BCBS
WV
01
—
1056712
WV DWC
WV
05
—
2000361000
—
WV
01
—
20404
LICENSE
WV
05
—
2803069
—
OH
01
—
P00456101
MEDICARE RAIL ROAD
OH
Enumeration date
01/03/2006
Last updated
08/16/2023
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