Provider Demographics
NPI:1982338752
Name:ABDILA, MOHAMMED NURI (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:NURI
Last Name:ABDILA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOHAMMEDSULTAN
Other - Middle Name:NURI
Other - Last Name:ABDILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1230 E RUSHOLME ST STE 109
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-2400
Mailing Address - Country:US
Mailing Address - Phone:563-421-3120
Mailing Address - Fax:563-421-3129
Practice Address - Street 1:1230 E RUSHOLME ST STE 109
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-2400
Practice Address - Country:US
Practice Address - Phone:563-421-3120
Practice Address - Fax:563-421-3129
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-54190207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine