Active NPIIndividual provider

Mr. Bashir Abdul-Wadud, PA-C

Physician Assistant in Albany, New York

NPI Number1871510883
Practice location
5 Palisades Dr Ste 100, Albany, NY 12205-6433
Fax
518-438-5803
Last updated
May 6, 2025

Bashir Abdul-Wadud is a Physician Assistant based in Albany, NY. Bashir Abdul-Wadud practices in Albany, NY and has the professional credentials of PA-C. The NPI Number for Bashir Abdul-Wadud is 1871510883 and holds a License No. 1876 (MA). The current practice location address for Bashir Abdul-Wadud is 5 Palisades Dr Ste 100, Albany, NY 12205-6433 and can be reached out via phone at 518-438-4496 and via fax at 518-438-5803.

Provider Profile Details

NPI Number
1871510883
Provider Name
Bashir Abdul-Wadud
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5 Palisades Dr Ste 100, Albany, NY 12205-6433
Phone Number
518-438-4496
Fax Number
518-438-5803
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2006
Last Update Date
May 6, 2025
Certification Date
May 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Palisades Dr Ste 100
Albany, NY 12205-6433
City
Albany
Zip
12205-6433
Phone Number
518-438-4496
Fax Number
518-438-5803
Albany, NY 12205Get directions →

Provider Business Mailing Address Details

Address
Po Box 14890
Albany, NY 12212-4890
City
Albany
State
NY
Zip
12212-4890
Phone Number
518-525-5634
Fax Number
518-649-4094

License Information

License Number (1)
1876
License State (1)
MA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
MA057997
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Bashir Abdul-Wadud, PA-C?

The NPI number of Mr. Bashir Abdul-Wadud, PA-C is 1871510883. It was assigned on July 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Bashir Abdul-Wadud, PA-C?

Mr. Bashir Abdul-Wadud, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1876.

Where does Mr. Bashir Abdul-Wadud, PA-C practice?

The practice location is 5 Palisades Dr Ste 100, Albany, NY 12205-6433. The office can be reached at 518-438-4496 (phone) or 518-438-5803 (fax).

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 1871510883 directly on the NPPES registry website.

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