Individual provider · NPI-1
Sophia A Abdulhai, MD
Surgery · Gallup, NM
NPI number1356604755
StatusActive
Last updated in NPPESOct 3, 2025
Details
- NPI
- 1356604755
- Entity type
- Individual (NPI-1)
- Name
- Sophia A Abdulhai
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2012
- Certification date
- Oct 3, 2025
- Last updated
- Oct 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 2025-01887 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 184984 | NC | |
| 208600000X | Surgery | 01088681A | IN | |
| 2086S0102X | Surgery, Surgical Critical Care | 01088681A | IN | |
| 208600000X | Surgery | 35.128467 | OH |
Other names
- Sophia Abdulrazzak Abdulhai (Other Name)
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
Mailing address
615 E 12th StWashington, NC 27889-3408
Other practice locations
628 E 12th St
Washington, NC 27889-3409
Washington, NC 27889-3409
Phone 252-975-4100
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