Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | ME38928 | FL |
NPI | 1114038551 |
---|---|
Provider Name | Abdulwahab Aldousany |
First Address | Coral Gables, FL 33146-2423 |
Second Address | Coral Gables, FL 33146-2423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 25/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
376842200 | (05) | FL |