Jawan Wolfgang Abdulrahim, MD
Student in an Organized Health Care Education/Training Program in Durham, NC. Individual provider (NPI-1).
NPI number1124656673
StatusActive
Last updated in NPPESMar 31, 2020
Details
- NPI
- 1124656673
- Entity type
- Individual (NPI-1)
- Name
- Jawan Wolfgang Abdulrahim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Mar 31, 2020
- Last updated
- Mar 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2301 Erwin RdDurham, NC 27705-4699
Phone 919-684-8111
Mailing address
2301 Erwin RdDurham, NC 27705-4699
Phone 919-684-8111
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