Healthcare Provider Details

I. General information

NPI: 1255278115
Provider Name (Legal Business Name): ABDULLA ALHALMY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SAINT MARYS DR STE 300
EVANSVILLE IN
47714-0511
US

IV. Provider business mailing address

5 N WASHINGTON ST
WESTMONT IL
60559-1635
US

V. Phone/Fax

Practice location:
  • Phone: 812-485-5300
  • Fax: 812-485-5121
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: