Provider Demographics
NPI:1770510125
Name:ABDEL-AL, NAGLAA ZIDAN ELSAYED (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGLAA
Middle Name:ZIDAN ELSAYED
Last Name:ABDEL-AL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 W NEWBERRY RD STE E3
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2389
Mailing Address - Country:US
Mailing Address - Phone:352-505-3677
Mailing Address - Fax:352-505-3966
Practice Address - Street 1:4001 W NEWBERRY RD STE E3
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2389
Practice Address - Country:US
Practice Address - Phone:352-505-3677
Practice Address - Fax:352-505-3966
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100169207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA02583879Medicare ID - Type Unspecified
VARA4242Medicare UPIN