Individual provider · NPI-1

Dr. Abdelrahman Abdalla

Internal Medicine · Oklahoma City, OK

NPI number1104569227
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1104569227
Entity type
Individual (NPI-1)
Name
Dr. Abdelrahman Abdalla
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 16, 2022
Certification date
Jun 30, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine45584OKYes

Practice location

700 Ne 13th St
Oklahoma City, OK 73104-5004

Phone 405-271-5882 · Fax 405-271-1476

Mailing address

2330 California St Apt 7
Mountain View, CA 94040-4705

Phone 650-861-9010

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