Walaa Abdelreheem, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gainesville, FL
NPI 1679369003 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1679369003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 41482 (FL)
- Practice address
- Shands Hospital 1600 SW Archer Road Gainesville FL
Gainesville, FL 32610-3130 - Phone
- (352) 273-8234
- Fax
- (352) 294-8060
- NPI assigned
- Apr 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251122001262 | FL | Order and Referring Only - Nephrology |
8527550979 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41482 | FL | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- wabdelreheem789333@direct.shands.ufl.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 41482 | FL | Yes |
Addresses
Primary practice location
Shands Hospital 1600 SW Archer Road Gainesville FL
Gainesville, FL 32610-3130
Mailing address
Shands Hospital 1600 SW Archer Road Gainesville FL
Gainesville, FL 32610-3130
Phone (352) 273-8234
Other providers in Gainesville, FL
- Sherine Abdalla
- Naglaa Zidan Elsayed Abdel-Al
- Dahlia A Abdelaal
- Abdalla Eltayeb Abdalla Abdelkader
- Michel Abdelmasih
- Mahmoud Abdelsalam Mohamed Abdelsalam
- Mariem Abdelsalam
- Farkhondeh Abdollahi
- Hussein Haider Abdulelah Abdulelah
- Nader Farhan Abdulhameed
All providers in Gainesville, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. 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.