Provider Demographics
NPI:1114152444
Name:ABDELHALIM, AHMED (RPH, CIP)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ABDELHALIM
Suffix:
Gender:M
Credentials:RPH, CIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 W FALLON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-2622
Mailing Address - Country:US
Mailing Address - Phone:559-271-5337
Mailing Address - Fax:
Practice Address - Street 1:1780 ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:CHOWCHILLA
Practice Address - State:CA
Practice Address - Zip Code:93610-9016
Practice Address - Country:US
Practice Address - Phone:559-665-1096
Practice Address - Fax:559-665-5978
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist