Individual provider · NPI-1

Dr. Butool Saba Abdullah, MD

Family Medicine · Fontana, CA

NPI number1285130708

StatusActive

Last updated in NPPESOct 17, 2022

Details

NPI: 1285130708
Entity type: Individual (NPI-1)
Name: Dr. Butool Saba Abdullah
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Apr 3, 2018
Certification date: Oct 17, 2022
Last updated: Oct 17, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	R-11368	IA	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

16854 Ivy Ave
Fontana, CA 92335-1504

Phone 909-791-1000 · Fax 909-781-6000

Mailing address

Po Box 1475
Des Moines, IA 50305-1475

Phone 515-643-2682 · Fax 515-643-5802

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