Walaa Abualhuda, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Largo, FL

NPI 1154023844 · NPPES record last updated Mar 20, 2023

Key facts

NPI
1154023844
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
201 14TH St SW
Largo, FL 33770-3133
Phone
(727) 588-5704
NPI assigned
Mar 20, 2023
Sex
Female
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 IDStateProvider typePAC IDDetails
I20230621003412 FL Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
4688032758

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

201 14TH St SW
Largo, FL 33770-3133

Mailing address

201 14TH St SW
Largo, FL 33770-3133
Phone (727) 588-5704

Other providers in Largo, FL

All providers in Largo, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.