Ahmed E Abdallah, NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

R00702 Issued in MD

Practice address

7270 Cradlerock Way
Suite 102
Columbia, MD 21045-5025

Phone

(410) 908-9093

NPI assigned

Sep 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1073707808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 BALI RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436032",
            "telephone_number": "410-908-9093",
            "fax_number": "410-461-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 CRADLEROCK WAY",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455025",
            "telephone_number": "410-908-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLAH",
        "first_name": "AHMED",
        "middle_name": "E",
        "credential": "NCTMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1103X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Data Abstracter/Coder",
            "state": "MD",
            "license": "2003140",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R00702",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT1014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ABA Centers of Maryland LLC
• Nesriya Ababiya, PHARMD
• Hummira Hassani Abawi, D.P.M.
• Shamsuddin Abbamin
• Brittany Abbate, PA
• Fadi Deeb Abdallah, LCSW-C
• Nisrin Abdel Rahman
• Mohammed Ibrahim Abdel-Rahim, DO
• Adegboyega Abdulrafiu Abdulkadir, M.D.
• Shakerra M Abdullah

• All providers in Columbia, MD
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.