Provider Demographics
NPI:1629743000
Name:ABDELKADER, AHMED IBRAHIM KAMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:IBRAHIM KAMAL
Last Name:ABDELKADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1099 SECESSIONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-9751
Mailing Address - Country:US
Mailing Address - Phone:843-214-3795
Mailing Address - Fax:
Practice Address - Street 1:96 JONATHAN LUCAS ST # 629
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8900
Practice Address - Country:US
Practice Address - Phone:843-792-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCLL86557207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology