Maha Abdalla, PHARMD, PHD
Individual provider Active NPI Pharmacist · Knoxville, TN
NPI 1568053015 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1568053015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 39329 (TN)
- Practice address
- 400 Goodys LN Ste 101
Knoxville, TN 37922-1900 - Phone
- (865) 288-5837
- NPI assigned
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39329 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39329 | TN | Yes |
Addresses
Primary practice location
400 Goodys LN Ste 101
Knoxville, TN 37922-1900
Mailing address
400 Goodys LN Ste 101
Knoxville, TN 37922-1900
Phone (865) 288-5837
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 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.