Provider Demographics
NPI:1073968996
Name:ALBADER, ABDULLAH KH A KH (MD)
Entity Type:Individual
Prefix:MR
First Name:ABDULLAH
Middle Name:KH A KH
Last Name:ALBADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH STREET
Mailing Address - Street 2:FIFTH FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-243-6466
Mailing Address - Fax:305-243-2009
Practice Address - Street 1:1611 NW 14TH STREET
Practice Address - Street 2:FIFTH FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-6466
Practice Address - Fax:305-243-2009
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2017-03-21
Deactivation Date:2016-12-21
Deactivation Code:
Reactivation Date:2017-03-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program