Provider Demographics
NPI:1679570402
Name:ABDULLAH, NAAMAN (MD)
Entity Type:Individual
Prefix:
First Name:NAAMAN
Middle Name:
Last Name:ABDULLAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 398417
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33239-8417
Mailing Address - Country:US
Mailing Address - Phone:305-851-6005
Mailing Address - Fax:305-851-3117
Practice Address - Street 1:21110 BISCAYNE BLVD STE 403
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1252
Practice Address - Country:US
Practice Address - Phone:305-851-6005
Practice Address - Fax:305-851-3117
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME68204208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
05607OtherUNIVERSAL HEALTH CARE
31120OtherNEIGHBORHOOD HEALTH
G65946OtherVISTA
M682041OtherPREFERRED MEDICAL PLAN
FLP00220582OtherMEDICARE RAILROAD
FL018485400Medicaid
158529OtherWELLCARE
FL32614OtherBCBS
1020363OtherPHYSICIANS HEALTH CARE
32614ZOtherBEECHSTREET
FLSORZCOtherBLUE CROSS BLUE SHIELD
FLSORZCOtherBCBS FLA
1020363OtherCARE PLUS
FL106112000Medicaid
213232OtherAMERIGROUP
238328OtherAVMED
FL2941003OtherAETNA