Provider Demographics
NPI:1114770708
Name:HANFESH, ABDULLAH SHAKER (BDS, MSC)
Entity Type:Individual
Prefix:MR
First Name:ABDULLAH
Middle Name:SHAKER
Last Name:HANFESH
Suffix:
Gender:M
Credentials:BDS, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 (C) 6531
Mailing Address - Street 2:
Mailing Address - City:QATIF
Mailing Address - State:EASTERN PROVIDENCE
Mailing Address - Zip Code:32617
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:650 W BALTIMORE ST, UNIVERSITY OF MARYLAND SCHOOL OF DE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-706-6701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program