Provider Demographics
NPI:1003000274
Name:WAEL ALABDULKARIM, MD, APMC
Entity Type:Organization
Organization Name:WAEL ALABDULKARIM, MD, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALABDULKARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-289-8414
Mailing Address - Street 1:201 RUE IBERVILLE STE 110
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3281
Mailing Address - Country:US
Mailing Address - Phone:337-234-0630
Mailing Address - Fax:337-234-0632
Practice Address - Street 1:201 RUE IBERVILLE STE 110
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3281
Practice Address - Country:US
Practice Address - Phone:337-234-0630
Practice Address - Fax:337-234-0632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2005952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1721981Medicaid
LADG7265Medicare PIN
LA4J980BC64Medicare PIN