Individual provider · NPI-1

Abdullah Ahmed

Internal Medicine, Rheumatology · Stony Brook, NY

NPI number1285039784
StatusActive
Last updated in NPPESApr 25, 2023

Details

NPI
1285039784
Entity type
Individual (NPI-1)
Name
Abdullah Ahmed
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2014
Certification date
Apr 25, 2023
Last updated
Apr 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology305152-01NYYes
207R00000X Internal MedicineTP070KY
208M00000X HospitalistTP070KY

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-3328

Phone 631-638-4464

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-8161

Phone 631-638-4464

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