Individual provider · NPI-1

Loai Haisam Hafez Abdullah

Student in an Organized Health Care Education/Training Program · Greenville, NC

NPI number1922982990
StatusActive
Last updated in NPPESAug 6, 2025

Details

NPI
1922982990
Entity type
Individual (NPI-1)
Name
Loai Haisam Hafez Abdullah
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2025
Certification date
Aug 6, 2025
Last updated
Aug 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program330487NCYes

Practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Phone 252-744-3229

Mailing address

2100 Stantonsburg Rd
Greenville, NC 27834-2818

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