Individual provider · NPI-1

Shamel A Abd-Allah, M.D.

Pediatrics, Pediatric Critical Care Medicine · Loma Linda, CA

NPI number1407879257
StatusActive
Last updated in NPPESSep 29, 2017

Details

NPI
1407879257
Entity type
Individual (NPI-1)
Name
Shamel A Abd-Allah
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2006
Last updated
Sep 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0203X Pediatrics, Pediatric Critical Care MedicineG73462CAYes
208000000X PediatricsG73462CA

Practice location

11370 Anderson St
Ste B-100
Loma Linda, CA 92354-3450

Phone 909-558-2848

Mailing address

54701 File Number
Los Angeles, CA 90074-4701

Phone 909-558-3111

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