Basil Mohamed Abdalla, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New Haven, CT
NPI 1154905057 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1154905057
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-4242
- NPI assigned
- May 7, 2021
- Sex
- Male
- Sole proprietor
- No
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
Interoperability endpoints
- babdalla514733@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
Other providers in New Haven, CT
- Cyrena Desiree Abbasi
- Khalid M Abbed
- Ali T Abboud
- Matteo Luciano Abbruzzese
- Wasan Abd Wahab
- Jasmina Abdalla
- Sonya Samir Abdel-Razeq
- Usama Abdelghany
- Elie Abdelnour
- Ashkan Abdollahi
All providers in New Haven, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.