Eduardo M Abdala, M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A24633 Issued in CA

Legal business name

EDUARDO M ABDALA, M.D. INC

Practice address

1040 Colusa St
Vallejo, CA 94590

Phone

(707) 552-4608

Fax

(707) 552-6042

NPI assigned

May 24, 2012

Last updated

May 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eduardo M Abdala, M.D.

Title

M.D.

Phone

(707) 552-4608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1699035550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 COLUSA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94590",
            "telephone_number": "707-552-4608",
            "fax_number": "707-552-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 COLUSA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94590",
            "telephone_number": "707-552-4608",
            "fax_number": "707-552-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO M ABDALA, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "ABDALA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "707-552-4608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A24633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazila Tazangi Edalati, DDS
• Stephanie M. Eden, MD
• Editha M. Aquino D.M.D. Professional Dental Corporation
• Casnique Edmondson
• Eden Castillo Edora, D.M.D.
• Angela Edwards
• James L. Edwards, MD
• Maurice Edwards
• Michael Francis Edziak, DDS
• Tracy Eidson, N.P.

• Internal Medicine Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.