| Dr Abdelrahman M Abdalla, MD | |
|
911 N Shelby St, Salem, IN 47167-2304 | |
| (812) 896-0108 | |
| (812) 883-8556 |
| Full Name | Dr Abdelrahman M Abdalla |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 911 N Shelby St, Salem, Indiana |
| 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 |
|---|---|---|---|
| 1477729234 | NPI | - | NPPES |
| 000000342198 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
| 200478450 | Medicaid | IN | |
| 01058910A | Other | IN | IN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01058910A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Medical Center (bowling Green) | Bowling green, KY | Hospital |
| The Medical Center At Franklin | Franklin, KY | Hospital |
| The Medical Center At Scottsville | Scottsville, KY | Hospital |
| Greenview Regional Hospital | Bowling green, KY | Hospital |
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bowling Green-warren County Community Hospital Corporation | 7719899947 | 65 |
| Entity Name | Springfield Radiology Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613141 PECOS PAC ID: 8527085794 Enrollment ID: O20051027000128 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090305000655 |
| Entity Name | Bowling Green-warren County Community Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689498107 PECOS PAC ID: 7719899947 Enrollment ID: O20250331002449 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abdelrahman M Abdalla, MD 911 N Shelby St, Salem, IN 47167-2304 Ph: (812) 896-0108 | Dr Abdelrahman M Abdalla, MD 911 N Shelby St, Salem, IN 47167-2304 Ph: (812) 896-0108 |