Individual provider · NPI-1

Mohammed T Abdulaaima, MD

Internal Medicine · Peoria, IL

NPI number1861952707
StatusActive
Last updated in NPPESJul 30, 2022

Details

NPI
1861952707
Entity type
Individual (NPI-1)
Name
Mohammed T Abdulaaima
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2019
Certification date
Jul 30, 2022
Last updated
Jul 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036.159575ILYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-624-8818

Mailing address

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-624-8818

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