Dr. Qahtan A Abdulfattah
Sports Medicine Doctor
11323 Cortez Blvd
Brooksville
, Florida 34613-5407
Dr. Qahtan A Abdulfattah
Sports Medicine Doctor
11323 Cortez Blvd
Brooksville
, Florida 34613-5407
(352) 606-2857
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Qahtan A Abdulfattah
- 14690 Spring Hill Dr Suite 100 Attn:credentialing
- Spring Hill, FL
- Zip : 34609-8102
- Fax : (352) 606-2857
- Phone : (352) 799-0046
Second Address
- Dr. Qahtan A Abdulfattah
- 11323 Cortez Blvd
- Brooksville, FL
- Zip : 34613-5407
- Fax : (352) 597-2898
- Phone : (352) 596-8344
Reviews
FAQs
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Is Dr. Qahtan A Abdulfattah a sole practitioner?
Is Dr. Qahtan A Abdulfattah accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | ME92671 | FL |
National Provider Identifier
| NPI | 1558370411 |
|---|---|
| Provider Name | Dr. Qahtan A Abdulfattah |
| First Address | Spring Hill, FL 34609-8102 |
| Second Address | Brooksville, FL 34613-5407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 18/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000238700 | (05) | FL |
| 03396 | BCBS OF FL (01) | FL |
| 311869 | AVMED (01) | FL |
| 316584 | WELLCARE (01) | FL |
| P01426390 | RAILROAD MCR LINKED TO GRP#DR6927 (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.