Provider Demographics
NPI:1437421898
Name:SOFIA M. ABDULLAH, M.D., LLC
Entity Type:Organization
Organization Name:SOFIA M. ABDULLAH, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:MALIK
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-345-2700
Mailing Address - Street 1:8955 EDMONSTON RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1006
Mailing Address - Country:US
Mailing Address - Phone:301-345-2700
Mailing Address - Fax:301-474-7267
Practice Address - Street 1:8955 EDMONSTON RD
Practice Address - Street 2:SUITE F
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1006
Practice Address - Country:US
Practice Address - Phone:301-345-2700
Practice Address - Fax:301-474-7267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019449207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty