Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD458391 | PA |
Y | 208200000X | Surgeon | 35.136810 | OH |
Y | 208600000X | Surgeon | 35.136810 | OH |
NPI | 1255880738 |
---|---|
Provider Name | Ahmad Abdelaal |
First Address | Toledo, OH 43606-1062 |
Second Address | Bronx, NY 10461-1197 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2016 |
Last Update Date | 07/01/2021 |