| Mukemil Abdella Md Llc | |
|
12200 Annapolis Rd Suite 229 Glenn Dale MD 20769-9180 | |
| (240) 245-4421 | |
| (240) 245-4424 |
| Full Name | Mukemil Abdella Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12200 Annapolis Rd, Glenn Dale, Maryland |
| Authorized Official Name and Position | Mukemil Abdella (MD) |
| Authorized Official Contact | 2402454421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mukemil Abdella Md Llc 12200 Annapolis Rd Suite 229 Glenn Dale MD 20769-9180 Ph: (240) 245-4421 | Mukemil Abdella Md Llc 12200 Annapolis Rd Suite 229 Glenn Dale MD 20769-9180 Ph: (240) 245-4421 |
| NPI Number | 1376604926 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 2466348685 |
|---|---|
| Medicare Enrollment ID | O20040225000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376604926 | NPI | - | NPPES |
| 1871603381 | Other | DC | INDIVIDUAL NPI NUMBER |
| 2115095 | Other | MD | ALLIANCE |
| KFS6MU | Other | MD | MD BC BS |
| 2119347 | Other | MD | FIRST HEALTH |
| 036237200 | Medicaid | DC | |
| 3237294 | Other | MD | AETNA |
| 403013300 | Medicaid | MD | |
| 617873 | Other | MD | NATIONAL CAPITAL PPO |
| J120001 | Other | DC | DC BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0059981 (Maryland) | Primary |
| Provider Name | Mukemil Abdella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871603381 PECOS PAC ID: 7517853740 Enrollment ID: I20040520001388 |
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