Abdulwahab Khodadah, DDS is a
Student In An Organized Health Care Education/training Program based in Boston, Massachusetts. Abdulwahab Khodadah is licensed to practice in * (Not Available) (license number ) and his current practice location is
635 Albany St, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 650-9014.
NPI number for Abdulwahab Khodadah is 1427516251 and his current mailing address is 45 Stuart St Apt 1217, Boston, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427516251.
Healthcare Provider's Profile
| Full Name | Abdulwahab Khodadah |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 635 Albany St, Boston, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427516251
- Provider Enumeration Date: 03/11/2019
- Last Update Date: 09/25/2023
Medical Identifiers
Medical identifiers for Abdulwahab Khodadah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427516251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DL15876 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abdulwahab Khodadah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Abdulwahab Khodadah, DDS
45 Stuart St Apt 1217,
Boston, MA 02116-4751
Ph: (617) 650-9014 | Abdulwahab Khodadah, DDS
635 Albany St,
Boston, MA 02118-3550
Ph: (617) 650-9014 |
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