Provider Demographics
NPI:1750585345
Name:ABDULLA, NIHAL ESSA (MD)
Entity type:Individual
Prefix:DR
First Name:NIHAL
Middle Name:ESSA
Last Name:ABDULLA
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 1:3822 KATELLA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3302
Mailing Address - Country:US
Mailing Address - Phone:562-735-0602
Mailing Address - Fax:562-490-8590
Practice Address - Street 1:3822 KATELLA AVE STE 200
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3302
Practice Address - Country:US
Practice Address - Phone:562-735-0602
Practice Address - Fax:562-725-4370
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120904207RH0003X
TXM9110207RX0202X
CAA120904207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198942803Medicaid
CAA120904Medicaid
CACB251336Medicare PIN
TX198942803Medicaid