Individual provider · NPI-1

Dr. Shukri Abdullah, MD

Internal Medicine · Jacksonville, FL

NPI number1861444879
StatusActive
Last updated in NPPESJan 19, 2021

Details

NPI
1861444879
Entity type
Individual (NPI-1)
Name
Dr. Shukri Abdullah
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 17, 2006
Certification date
Jan 19, 2021
Last updated
Jan 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2018042049MOYes
207R00000X Internal MedicineME108424FL
208M00000X HospitalistA96702CA

Practice location

1200 Riverplace Blvd
Suite: 620
Jacksonville, FL 32207-9046

Phone 904-396-6620 · Fax 904-396-6528

Mailing address

653 W 23rd Street
Pmb 244
Panama City, FL 32405-3992

Phone 850-215-2337

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