Individual provider · NPI-1

Ebtehal A. Abdelaal, M.D.

Family Medicine · Hampton, VA

NPI number1699903724
StatusActive
Last updated in NPPESMar 10, 2021

Details

NPI
1699903724
Entity type
Individual (NPI-1)
Name
Ebtehal A. Abdelaal
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2009
Certification date
Mar 10, 2021
Last updated
Mar 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101251363VAYes

Practice location

6 Manhattan Sq Ste 100
Hampton, VA 23666-5846

Phone 757-826-2102 · Fax 757-825-9482

Mailing address

860 Omni Blvd
Ste 101
Newport News, VA 23606-4430

Phone 757-232-8769 · Fax 757-232-8875

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