Individual provider · NPI-1

Ghudran A Abdulal, MD

Family Medicine · New Berlin, WI

NPI number1083622666
StatusActive
Last updated in NPPESNov 18, 2021

Details

NPI
1083622666
Entity type
Individual (NPI-1)
Name
Ghudran A Abdulal
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 3, 2006
Certification date
Nov 18, 2021
Last updated
Nov 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine46029WIYes

Other names

  • Ghudran A Abedl-Al (Former Name)

Practice location

14555 W National Ave
Suite 165
New Berlin, WI 53151-4494

Phone 262-827-3636

Mailing address

3003 W Good Hope Rd
Milwaukee, WI 53209-2042

Phone 414-352-3100

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