Khuzam Abdalla, M.D
Individual provider Active NPI Pediatrics Physician · Abilene, TX
NPI 1174769137 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1174769137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- RS2008-0842 (NM)
- Practice address
- 6300 Regional PLZ Ste 650
Abilene, TX 79606-5226 - Phone
- (325) 692-5800
- Fax
- (325) 692-6111
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RS2008-0842 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RS2008-0842 | NM | Yes |
Addresses
Primary practice location
6300 Regional PLZ Ste 650
Abilene, TX 79606-5226
Mailing address
PO Box 5409
Abilene, TX 79608-5409
Phone (325) 437-8655
Other providers in Abilene, TX
- A&C Productions LLC.
- Zenia Aban
- Billy Abbe
- Jessica Ann Abbe
- Abbeville Dentistry - Abilene PLLC
- Haba Abdullah
- Ermias Zenebe Abebe
- Samantha Ann Abels
- Larry D. Abernathy
- Abi Counseling, PLLC
All providers in Abilene, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. 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.