Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD453654 | PA |
N | 207T00000X | Neurosurgeon | S2204 | TX |
NPI | 1073892758 |
---|---|
Provider Name | Kalil G Abdullah |
First Address | Pittsburgh, PA 15232-1309 |
Second Address | Dallas, TX 75390-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2011 |
Last Update Date | 21/01/2022 |