Dr. Basil Mohamed Abdalla, MD
Student in an Organized Health Care Education/Training Program in New Haven, CT. Individual provider (NPI-1).
NPI number1154905057
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1154905057
- Entity type
- Individual (NPI-1)
- Name
- Dr. Basil Mohamed Abdalla
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2021
- Certification date
- May 23, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
Mailing address
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
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