Eddie K. Abdalla
Surgical Oncologist
980 Johnson Ferry Rd Suite 170
Atlanta
, Georgia 30342-1626
Eddie K. Abdalla
Surgical Oncologist
980 Johnson Ferry Rd Suite 170
Atlanta
, Georgia 30342-1626
(404) 300-2240
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Eddie K. Abdalla
- 980 Johnson Ferry Rd Suite 170
- Atlanta, GA
- Zip : 30342-1626
- Fax : (404) 300-2240
- Phone : (404) 300-2140
Second Address
- Eddie K. Abdalla
- 980 Johnson Ferry Rd Suite 170
- Atlanta, GA
- Zip : 30342-1626
- Fax : (404) 300-2240
- Phone : (404) 300-2140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | K7959 | TX |
National Provider Identifier
| NPI | 1235225889 |
|---|---|
| Provider Name | Eddie K. Abdalla |
| First Address | Atlanta, GA 30342-1626 |
| Second Address | Atlanta, GA 30342-1626 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 13/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 020043965 | RR MEDICARE (01) | TX |
| 37438101 | (05) | TX |
| 84691X | BCBS (01) | TX |
| G97515 | (02) |
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.