Provider Demographics
NPI:1346344512
Name:ALWANI, ABDULLA - (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDULLA
Middle Name:-
Last Name:ALWANI
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 1:217 73ED ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:718-921-0074
Mailing Address - Fax:718-238-7991
Practice Address - Street 1:217 73RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2109
Practice Address - Country:US
Practice Address - Phone:718-921-0074
Practice Address - Fax:718-238-7991
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166458208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics