Hussein Al Dabbagh, MD
Individual provider Active NPI Internal Medicine Physician · Plantation, FL
NPI 1003669540 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1003669540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 10597227 (FL)
- Practice address
- 8201 W Broward Blvd
Plantation, FL 33324-2701 - Phone
- (954) 829-0639
- NPI assigned
- Apr 5, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508004066 | FL | Order and Referring Only - Internal Medicine |
4981045952 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10597227 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- hussein.aldabbagh@hca4.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10597227 | FL | Yes |
Addresses
Primary practice location
8201 W Broward Blvd
Plantation, FL 33324-2701
Mailing address
1254 W Elmdale Ave
Chicago, IL 60660-2523
Phone (928) 500-2806
Other practice location 1
2801 N State Road 7
Margate, FL 33063-5727
Phone (954) 829-0639
Other providers in Plantation, FL
- Kamran Ajami
- Abimbola Olawunmi Ajibowo
- Jadesola Akanji
- Mallory Akin
- Akronis Home Care Services LLC
- Mohammed Al Fartusi
- Alabaster Center, LLC
- Christopher O Alabi
- Jennifer Aladro
- Khan Alam
All providers in Plantation, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.