Mohamed Awad Mohamed Abdalla

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New York, NY

NPI 1649159385 · NPPES record last updated Aug 28, 2025

Key facts

NPI
1649159385
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
505 Lenox Ave
New York, NY 10037-1801
Phone
(414) 477-6493
NPI assigned
Aug 28, 2025
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

505 Lenox Ave
New York, NY 10037-1801

Mailing address

3701 S George Mason Dr Unit 515N
Falls Church, VA 22041-3782
Phone (414) 477-6493

Other providers in New York, NY

All providers in New York, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.