Provider Demographics
NPI:1649407081
Name:ABDEL-KADER, ABIR SHAWKY FARGHAL (MD)
Entity Type:Individual
Prefix:
First Name:ABIR
Middle Name:SHAWKY FARGHAL
Last Name:ABDEL-KADER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABIR
Other - Middle Name:SHAWKY FARGHAL
Other - Last Name:ABDELKADER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3900 S ZINTEL WAY
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-942-2268
Practice Address - Street 1:888 SWIFT BLVD.
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-946-4611
Practice Address - Fax:509-942-3115
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60085526207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1649407081Medicaid
WA025904OtherKRMC L&I GROUP #