Provider Demographics
NPI:1780843300
Name:ABUL-ELA, AHMAD E (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:E
Last Name:ABUL-ELA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1616
Mailing Address - Country:US
Mailing Address - Phone:724-658-5223
Mailing Address - Fax:
Practice Address - Street 1:2575 BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1616
Practice Address - Country:US
Practice Address - Phone:724-658-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA016094E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000076556Medicare PIN