| Abucar A. Abdulle, Md. Pc | |
|
14409 Hereford Rd Woodbridge VA 22193-2128 | |
| (703) 730-5064 | |
| (703) 897-5284 |
| Full Name | Abucar A. Abdulle, Md. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14409 Hereford Rd, Woodbridge, Virginia |
| Authorized Official Name and Position | Abucar A Abdulle (PRESIDENT) |
| Authorized Official Contact | 7037305064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abucar A. Abdulle, Md. Pc 14409 Hereford Rd Woodbridge VA 22193-2128 Ph: (703) 730-5064 | Abucar A. Abdulle, Md. Pc 14409 Hereford Rd Woodbridge VA 22193-2128 Ph: (703) 730-5064 |
| NPI Number | 1952668303 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Medicare PECOS PAC ID | 1052573664 |
|---|---|
| Medicare Enrollment ID | O20120427000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952668303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abucar A Abdulle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073659900 PECOS PAC ID: 5698937209 Enrollment ID: I20120427000003 |
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