ISSA ABEDMAHMOUD MD NPI 1528042975

NPI Information

NPI: 1528042975
Provider Name: ISSA ABEDMAHMOUD, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Organization: MARSHALL BROWNING HOSPITAL ASSOCIATION

PECOS Registration: Yes

Address:
3020 S PARK AVE
HERRIN, IL
ZIP 62948
Phone: (618) 988-1877
Get Directions

Issa Abedmahmoud, MD is an endocrinology and diabetes and metabolism internal medicine in Herrin, IL with 38 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Issa Abedmahmoud, MD NPI is 1528042975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3020 S PARK AVE
HERRIN, IL
ZIP 62948-721
Phone: (618) 988-1877
Fax: (618) 988-8578

The NPI 1528042975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 11/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	036097793	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	050625	OTHER		HEATLH ALLIANCE
2	036097793	MEDICAID	ILLINOIS
3	416686	OTHER		HEATHLINK
4	59806	OTHER		GHP ACCESS
5	10023061	OTHER		BCBS IL
6	P00477017	MEDICARE PIN
7	H00544	MEDICARE UPIN
8	552110	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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