Provider Demographics
NPI:1164467262
Name:ABDEL, HANY F (DO)
Entity Type:Individual
Prefix:DR
First Name:HANY
Middle Name:F
Last Name:ABDEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-4108
Mailing Address - Country:US
Mailing Address - Phone:610-567-5265
Mailing Address - Fax:610-567-6955
Practice Address - Street 1:500 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 1020
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1353
Practice Address - Country:US
Practice Address - Phone:610-941-4208
Practice Address - Fax:610-941-4158
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007469-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS007469-LOtherSTATE LICENSE #
PAOS007469-LOtherSTATE LICENSE #