Individual provider · NPI-1

Dr. Mahmoud Youssef Abdallah, DO

Internal Medicine, Pulmonary Disease · Garden Grove, CA

NPI number1871014027
StatusActive
Last updated in NPPESSep 8, 2023

Details

NPI
1871014027
Entity type
Individual (NPI-1)
Name
Dr. Mahmoud Youssef Abdallah
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 28, 2017
Certification date
Sep 8, 2023
Last updated
Sep 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease20A16964CAYes
207R00000X Internal Medicine20A16964CA
207RC0200X Internal Medicine, Critical Care Medicine20A16964CA

Practice location

12462 Brookhurst St Ste A&B
Garden Grove, CA 92840-4759

Phone 714-636-9850

Mailing address

3033 W Orange Ave
Anaheim, CA 92804-3156

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