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MUKEMIL ABDELLA MD LLC NPI 1376604926


NPI Information

NPI: 1376604926
Provider Name: MUKEMIL ABDELLA MD LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
12200 ANNAPOLIS RD
SUITE 229
GLENN DALE, MD
ZIP 20769
Phone: (240) 245-4421
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MUKEMIL ABDELLA MD LLC is an internal medicine in Glenn Dale, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MUKEMIL ABDELLA MD LLC NPI is 1376604926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12200 ANNAPOLIS RD
SUITE 229
GLENN DALE, MD
ZIP 20769-180
Phone: (240) 245-4421
Fax: (240) 245-4424

The provider's authorized official is Mukemil Abdella .
The authorized official title is Md and has the following contact phone number (240) 245-4421.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 1/20/2010.


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
1207R00000XInternal MedicineD0059981MARYLANDYes

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
1J120001OTHERDISTRICT OF COLUMBIADC BC BS
2=========OTHERMARYLANDTAX ID
3H94017MEDICARE UPINMARYLAND
41871603381OTHERDISTRICT OF COLUMBIAINDIVIDUAL NPI NUMBER
5036237200MEDICAIDDISTRICT OF COLUMBIA
63237294OTHERMARYLANDAETNA
7KFS6MUOTHERMARYLANDMD BC BS
82119347OTHERMARYLANDFIRST HEALTH
9617873OTHERMARYLANDNATIONAL CAPITAL PPO
10403013300MEDICAIDMARYLAND
11G01314MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
122115095OTHERMARYLANDALLIANCE

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: 5/5/2024

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