1265961452 NPI number — WASEEM ABDALLAH M.D.

Table of content: WASEEM ABDALLAH M.D. (NPI 1265961452)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265961452 NPI number — WASEEM ABDALLAH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABDALLAH
Provider First Name:
WASEEM
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265961452
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
01/11/2018
NPI Reactivation Date:
01/26/2018

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX: 3050
Provider Second Line Business Mailing Address:
HAMAD MEDICAL CORPORATION, PSYCHIATRY DEPARTMENT
Provider Business Mailing Address City Name:
DOHA
Provider Business Mailing Address State Name:
QATAR
Provider Business Mailing Address Postal Code:
00000
Provider Business Mailing Address Country Code:
QA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 IRVING ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20010-3017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-877-6333
Provider Business Practice Location Address Fax Number:
855-778-6874
Provider Enumeration Date:
06/09/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  MD049165 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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