Anas Abdullah
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI 1184040917 · NPPES record last updated Mar 18, 2014
Key facts
- NPI
- 1184040917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0886
- NPI assigned
- Mar 18, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140707000797 | MD | Order and Referring Only - Plastic and Reconstructive Surgery |
0547485591 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0886
Other providers in Baltimore, MD
- Safiyyah H Abdul Rahman
- Mohammad Abdulelah
- Leenah Ata Y Abdulgader
- Tolani Fausat Abdulkadir
- Sasha Abdulkariem
- Ibrahim Chaz Abdullah
- Miya Abdullah
- Mustafa Abdulmahdi
- Mussa Abdurrahman
- Bethlehem L Abebe-Wolpaw
All providers in Baltimore, MD · Student in an Organized Health Care Education/Training Program in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.