Dr Shukri Abdullah, MD | |
1200 Riverplace Blvd, Suite: 620, Jacksonville, FL 32207-9046 | |
(904) 396-6620 | |
(904) 396-6528 |
Full Name | Dr Shukri Abdullah |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1200 Riverplace Blvd, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861444879 | NPI | - | NPPES |
A96702 | Other | CA | MEDICAL LICENSE |
0-608-847-0 | Other | CA | ECFMG |
00A967020 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME108424 (Florida) | Secondary |
208M00000X | Hospitalist | A96702 (California) | Secondary |
207R00000X | Internal Medicine | 2018042049 (Missouri) | Primary |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Midwest Hospitalist Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891242319 PECOS PAC ID: 9830487966 Enrollment ID: O20200915000597 |
Mailing Address | Practice Location Address |
---|---|
Dr Shukri Abdullah, MD 653 W 23rd Street, Pmb 244, Panama City, FL 32405-3992 Ph: (850) 215-2337 | Dr Shukri Abdullah, MD 1200 Riverplace Blvd, Suite: 620, Jacksonville, FL 32207-9046 Ph: (904) 396-6620 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |