Adel M Abdelkader, M.D

Individual provider Active NPI Diagnostic Radiology Physician · Largo, FL

NPI 1104120112 · NPPES record last updated Feb 11, 2020

Key facts

NPI
1104120112
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
ME51133 (FL)
Practice address
9237 Jakes Path
Largo, FL 33771-6315
Phone
(727) 584-5328
NPI assigned
Jan 5, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME51133FLMDDiagnostic Radiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME51133 FL Yes

Addresses

Primary practice location

9237 Jakes Path
Largo, FL 33771-6315

Mailing address

9237 Jakes Path
Largo, FL 33771-6315
Phone (727) 242-2016

Other providers in Largo, FL

All providers in Largo, FL · Diagnostic Radiology Physician in Florida

Sources for this page

Verify at the official NPI Registry.