Individual provider · NPI-1

Imad Ismail Abushahin, MD

Orthopaedic Surgery · Middletown, NY

NPI number1275013609
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1275013609
Entity type
Individual (NPI-1)
Name
Imad Ismail Abushahin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2018
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery315483NYYes
2086S0105X Surgery, Surgery of the HandFT581KY

Practice location

111 Maltese Dr
Middletown, NY 10940-2141

Phone 845-342-4774

Mailing address

111 Maltese Dr
Middletown, NY 10940-2141

Phone 845-342-4774

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthopaedic Surgery providers in Middletown, NY