Anwar Kamal Abdullah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101048636 Issued in VA

Practice address

26317 West Washington Street
Central State Hospital
Petersburg, VA 23803

Phone

(804) 524-6540

Fax

(804) 524-4866

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primedoc of Winchester PC

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1396701173

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184650947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12909 SCRIMSHAW CIR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362580",
            "telephone_number": "804-524-6540",
            "fax_number": "804-524-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26317 WEST WASHINGTON STREET",
            "address_2": "CENTRAL STATE HOSPITAL",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-524-6540",
            "fax_number": "804-524-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "ANWAR",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101048636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608611-0",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Dab of Hope, LLC
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• A Small Act of Kindness LLC
• A1 Diagnostic Solutions
• Aaa Taxi Cab Co Inc.
• Maribel K Abenir, CRNA-NP
• Ronald Clyde Abernathy
• About the Minors
• Jawed Abubaker, MD
• Abundance of Hope Service LLC

• All providers in Petersburg, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.