Maisa Ismail Abdalla, M.D.
Internal Medicine, Gastroenterology in Rochester, NY. Individual provider (NPI-1).
NPI number1669645222
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1669645222
- Entity type
- Individual (NPI-1)
- Name
- Maisa Ismail Abdalla
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2008
- Certification date
- Nov 3, 2020
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | A140585 | CA | Yes |
| 207R00000X | Internal Medicine | A140585 | CA | |
| 207RG0100X | Internal Medicine, Gastroenterology | 307634 | NY |
Practice location
601 Elmwood AveRochester, NY 14642-0001
Phone 773-968-4925
Mailing address
601 Elmwood AveRochester, NY 14642-0001
Phone 773-968-4925
Other practice locations
11234 Anderson St # Mc1556
Loma Linda, CA 92354-2804
Loma Linda, CA 92354-2804
Phone 909-558-4905 · Fax 909-558-0274
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