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NABIL K ABUDAYEHMD PROFESSIONAL CORPORATION NPI 1558558023


NPI Information

NPI: 1558558023
Provider Name: NABIL K ABUDAYEHMD PROFESSIONAL CORPORATION
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
20700 LAKE CHABOT RD
SUITE 107
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 886-6878
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NABIL K ABUDAYEHMD PROFESSIONAL CORPORATION is a cardiovascular disease internal medicine in Castro Valley, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NABIL K ABUDAYEHMD PROFESSIONAL CORPORATION NPI is 1558558023. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20700 LAKE CHABOT RD
SUITE 107
CASTRO VALLEY, CA
ZIP 94546-401
Phone: (510) 886-6878
Fax: (510) 886-0268

The provider's authorized official is Nabil K Abudayeh .
The authorized official title is Owner and has the following contact phone number (510) 886-6878.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 6/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseG059072CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11699724484OTHERNPPES
21699724484OTHERTYPE 1 NPI
3=========OTHERINTERNAL REVENUE SERVICE
400G590720MEDICAIDCALIFORNIA
5110245276OTHERCALIFORNIARAILROAD MEDICARE

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

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