Provider Demographics
NPI:1760407068
Name:ABADIR, ADEL RAMSEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEL
Middle Name:RAMSEY
Last Name:ABADIR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:707 E MAIN ST
Mailing Address - Street 2:RADIOLOGIC ASSOCIATES
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2650
Mailing Address - Country:US
Mailing Address - Phone:845-333-1258
Mailing Address - Fax:845-343-0617
Practice Address - Street 1:707 E MAIN ST
Practice Address - Street 2:ORANGE REGIONAL MEDICAL CENTER-RADIOLOGY DEPT
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2650
Practice Address - Country:US
Practice Address - Phone:845-333-1258
Practice Address - Fax:845-343-0617
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2021-07-22
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA075841002085R0202X, 2085R0204X
NY1943042085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01740463Medicaid
NY608611Medicare ID - Type Unspecified
NY01740463Medicaid