Provider Demographics
NPI:1376777524
Name:ABOSAIDA, ALLADDIN MOH ELHADI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLADDIN
Middle Name:MOH ELHADI
Last Name:ABOSAIDA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2001 WESTOWN PKWY STE 107
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1540
Mailing Address - Country:US
Mailing Address - Phone:515-223-8622
Mailing Address - Fax:515-223-5324
Practice Address - Street 1:2001 WESTOWN PKWY STE 107
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1540
Practice Address - Country:US
Practice Address - Phone:515-223-8622
Practice Address - Fax:515-223-5324
Is Sole Proprietor?:No
Enumeration Date:2009-05-02
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-405262080P0214X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1376777524Medicaid