Individual provider · NPI-1

Kemal Adem Abda, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number1942031083
StatusActive
Last updated in NPPESAug 10, 2024

Details

NPI
1942031083
Entity type
Individual (NPI-1)
Name
Kemal Adem Abda
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 10, 2024
Certification date
Aug 10, 2024
Last updated
Aug 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

234 E 149th St
Bronx, NY 10451-5504

Phone 718-579-4739

Mailing address

3455 Knox Pl Apt 4h
Bronx, NY 10467-2086

Phone 646-721-8558

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