| Atif Abubaker Abdalla, MD | |
|
7603 Lem Turner Rd, Jacksonville, FL 32208-3252 | |
| (904) 329-3336 | |
| (904) 517-8919 |
| Full Name | Atif Abubaker Abdalla |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 30 Years |
| Location | 7603 Lem Turner Rd, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528013042 | NPI | - | NPPES |
| 103880100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301080503 (Michigan) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | ME128260 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Dialysis Services - North Jacksonville | Jacksonville, FL | Dialysis facility |
| Fresenius Kidney Care Amelia Island | Fernandina beach, FL | Dialysis facility |
| Dialyze Direct Fl | Boca raton, FL | Dialysis facility |
| Fmc-trout River Dialysis | Jacksonville, FL | Dialysis facility |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A Abdalla Inc | 2264717545 | 2 |
| Entity Name | A Abdalla Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396283628 PECOS PAC ID: 2264717545 Enrollment ID: O20170329000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Atif Abubaker Abdalla, MD Po Box 550789, Jacksonville, FL 32255-0789 Ph: (904) 329-3336 | Atif Abubaker Abdalla, MD 7603 Lem Turner Rd, Jacksonville, FL 32208-3252 Ph: (904) 329-3336 |
Dr. Jami Ann Rothe Kinnucan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |