Fizan Abdullah, M.D.
Surgery, Pediatric Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1689637472
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1689637472
- Entity type
- Individual (NPI-1)
- Name
- Fizan Abdullah
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2006
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | 036138914 | IL | Yes |
| 208600000X | Surgery | D63677 | MD |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
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