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Dr. Ibrahim Abdalla, MD
Radiation Oncology Physician in Springfield, Missouri
NPI 1437154630

Ibrahim Abdalla is a Radiation Oncology Physician based in Springfield, MO and is specialized in Radiation Oncology. Ibrahim Abdalla practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Ibrahim Abdalla is 1437154630 and holds a License No. 2000158663 (Missouri).

The current practice location address for Ibrahim Abdalla is 3850 S National Ave, Springfield, MO and can be reached out via phone at 417-269-8926 and via fax at 417-269-5371.

Location: 3850 S National Ave, Springfield, MO, 65808-9007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437154630
Provider Name
Ibrahim Abdalla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3850 S National Ave, Springfield, MO, 65808-9007
Phone Number
417-269-8926
Fax Number
417-269-5371
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148380070 01 MO MEDICARE PTAN
205070303 05 MO
institution
Provider Business Practice Location Address Details
Address
3850 S National Ave
City
Springfield
State
Missouri
Zip
65807-5287
Phone Number
417-269-8926
Fax Number
417-269-5371
person
Provider Business Mailing Address Details
Address
3850 S National Ave
City
Springfield
State
Missouri
Zip
65807-5287
Phone Number
417-269-8926
Fax Number
417-269-5371
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2000158663 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
2000158663 (Missouri)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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