Basmah Adel Abdalla
Student in an Organized Health Care Education/Training Program

Address: 759 Chestnut St, Springfield, MA 01199-1001
Phone: 4137940000

Basmah Adel Abdalla (NPI# 1629394002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1629394002
Entity Type Individual
Full Name Basmah Adel Abdalla
Credential M.D.
Gender Female
Practice Address 759 Chestnut St
Springfield
MA 01199-1001
Practice Telephone 4137940000
Mailing Address 112 B Amar Bin Yasser St.
Apt 22
Heliopolis
CAIRO 11351
EG
Mailing Telephone 0020226243939
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2010-04-11
Last Update Date 2010-04-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Physician Overview

NPI 1629394002
PAC ID by PECOS 7618108242
Professional Enrollment ID I20160705002095
Full Name Basmah A Abdalla
Organization Legal Name UC REGENTS
Phone Number 3108257125
Gender F
Graduation Year 2008
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 1355248584
Number of Group Practice Members 824
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050262 RONALD REAGAN U C L A MEDICAL CENTER

Office Location

Street Address 759 CHESTNUT ST
City SPRINGFIELD
State MA
Zip Code 01199-1001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578569828 Diane L Dietzen Internal Medicine 759 Chestnut St, Springfield, MA 01199-1619 2005-06-22
1639642713 Steven F Singley Nurse Anesthetist, Certified Registered 759 Chestnut St, Springfield, MA 01107-1619 2019-01-10
1750853115 Nicole Marie Torchia Physician Assistant 759 Chestnut St, Springfield, MA 01199-1001 2018-12-26
1770054819 Ryan Patrick Flynn Nurse Practitioner 759 Chestnut St, Springfield, MA 01107-1619 2018-12-16
1669942686 Lindsey C Steele Muratori Social Worker 759 Chestnut St, Springfield, MA 01199-1001 2018-12-03
1841768256 Jhonatan Daniel Rivera Mora Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-1001 2018-11-05
1871078204 Jessica Zepke Urology 759 Chestnut St, Springfield, MA 01199-1001 2018-10-02
1073093100 Farah Adamali Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-3949 2018-08-17
1659851095 Marissa Cuff Nurse Anesthetist, Certified Registered 759 Chestnut St, Springfield, MA 01107-1619 2018-08-15
1780164244 Chelsea Dexheimer Physician Assistant 759 Chestnut St, Springfield, MA 01199 2018-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194211227 Alice Perman Leveston Social Worker 759 Chestnut St # S2660, Springfield, MA 01199 2018-07-01
1043732415 Calvin Keith Craig Student in an Organized Health Care Education/Training Program Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 2017-07-07
1528477387 Kailyn Sum Kwong Hing Student in an Organized Health Care Education/Training Program 759 Chestnut Street, Baystate Medical Center, Springfield, MA 01199 2014-08-06
1598026494 Yesenia Greeff Internal Medicine 3300 Main St Ste 3a, Springfield, MA 01199 2012-06-06
1912231903 Abistanand Ankam Anesthesiology 759 Chestnut St Department of Anesthesia, Baystate Medical Center, Holyoke, MA 01199 2009-09-24
1205099553 Ejaz Khalid Internal Medicine 759 Chest Nut Street, Department of Internal Medicine Attn Linda Baillargeon, Springfield, MA 01199 2008-07-08
1356502579 John Sloan Hopkins Psychiatry & Neurology 3300 Main Street, Suite 3d, Springfield, MA 01199 2008-06-20
1184817926 Asha Thomas Pediatrics 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 2007-08-24
1730381435 Vicki Weld Social Worker 3300 Main Street, Suite 4a, Springfield, MA 01199 2007-06-04
1699976266 Jim Maloney Physical Therapist 360 Birnie Avenue, Springfield, MA 01199 2007-05-30
Find all providers in zip 01199

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427521749 Pedro Cruz Student in an Organized Health Care Education/Training Program 95 Frank B Murray, Springfield, MA 01103 2019-01-09
1659847309 Angeline Chau Student in an Organized Health Care Education/Training Program 6404 Meriwether Ln, Springfield, VA 22150-1302 2018-10-21
1518433614 David Allan Meck Student in an Organized Health Care Education/Training Program 157 Magnolia Place, Springfield, WV 26763-0406 2018-10-17
1457847469 Wilnelia Lopez Student in an Organized Health Care Education/Training Program 26 Dubois St, Springfield, MA 01151-1970 2018-07-03
1598254666 Casey Carr Student in an Organized Health Care Education/Training Program 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1306335609 Stephanie Dunn Student in an Organized Health Care Education/Training Program 3129 Superior Dr, Springfield, IL 62707-9378 2018-05-02
1700383296 Madison Marvel Student in an Organized Health Care Education/Training Program 700 Williams Blvd, Springfield, IL 62704-2875 2018-04-10
1306346085 Krishanti Alisha Williams Student in an Organized Health Care Education/Training Program 18 King St, Springfield, MA 01109-4314 2018-02-19
1073013066 Ellen Dixon Student in an Organized Health Care Education/Training Program 873 Timberview Ave, Springfield, OH 45502-7963 2018-02-15
1043732415 Calvin Keith Craig Student in an Organized Health Care Education/Training Program Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 2017-07-07
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 01199

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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