Izzeldin K Abdalla, MD
Internal Medicine in Fayetteville, Georgia
1760731962- Practice location
- 1255 Highway 54 W, Fayetteville, GA 30214-4526
- Phone
- 770-719-5630
- Fax
- —
- Last updated
- March 19, 2025
Izzeldin K Abdalla is an Internal Medicine based in Fayetteville, GA. Izzeldin K Abdalla practices in Fayetteville, GA and has the professional credentials of MD. The NPI Number for Izzeldin K Abdalla is 1760731962 and holds a License No. 74880 (GA). The current practice location address for Izzeldin K Abdalla is 1255 Highway 54 W, Fayetteville, GA 30214-4526 and can be reached out via phone at 770-719-5630.
Provider Profile Details
- NPI Number
- 1760731962
- Provider Name
- Izzeldin K Abdalla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1255 Highway 54 W, Fayetteville, GA 30214-4526
- Phone Number
- 770-719-5630
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 4, 2012
- Last Update Date
- March 19, 2025
- Certification Date
- March 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1255 Highway 54 W
Fayetteville, GA 30214-4526 - City
- Fayetteville
- State
- Georgia
- Zip
- 30214-4526
- Phone Number
- 770-719-5630
Provider Business Mailing Address Details
- Address
- Po Box 742616
Atlanta, GA 30374-2616 - City
- Atlanta
- State
- GA
- Zip
- 30374-2616
- Phone Number
- 770-219-8420
License Information
- License Number (1)
- 74880
- License State (1)
- GA
- Taxonomy (1)
- Hospitalist · 208M00000X
- License Number (2)
- 74880
- License State (2)
- GA
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Fayetteville, GA
View all Internal Medicine providers in Fayetteville →Frequently Asked Questions
What is the NPI number of Izzeldin K Abdalla, MD?
The NPI number of Izzeldin K Abdalla, MD is 1760731962. It was assigned on September 4, 2012 and is currently active in the NPPES registry.
What is the specialty of Izzeldin K Abdalla, MD?
Izzeldin K Abdalla, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in GA under license number 74880.
Where does Izzeldin K Abdalla, MD practice?
The practice location is 1255 Highway 54 W, Fayetteville, GA 30214-4526. The office can be reached at 770-719-5630 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760731962 directly on the NPPES registry website.