Provider Demographics
NPI:1043458029
Name:ABDULLA, CEDELA (MD)
Entity Type:Individual
Prefix:DR
First Name:CEDELA
Middle Name:
Last Name:ABDULLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 19158
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-9158
Mailing Address - Country:US
Mailing Address - Phone:713-772-0793
Mailing Address - Fax:713-772-9980
Practice Address - Street 1:3533 TOWN CENTER BLVD S
Practice Address - Street 2:STE. 200
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1454
Practice Address - Country:US
Practice Address - Phone:713-772-0793
Practice Address - Fax:281-781-2557
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1510207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicare UPIN