Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | A94001 | CA |
Y | 2080P0214X | Pediatric Pulmonologist | MD-40526 | IA |
NPI | 1376777524 |
---|---|
Provider Name | Dr. Alladdin Moh. Elhadi Abosaida |
First Address | Des Moines, IA 50309-1406 |
Second Address | Des Moines, IA 50309-1414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2009 |
Last Update Date | 29/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1376777524 | (05) | IA |