Healthcare Provider Details

I. General information

NPI: 1588368831
Provider Name (Legal Business Name): HUSSEIN ABDIKADIR ABDILLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 REPUBLICAN ST # C-492
SEATTLE WA
98109-4725
US

IV. Provider business mailing address

850 REPUBLICAN ST C-492 BOX 358047
SEATTLE WA
98109-4325
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-3605
  • Fax:
Mailing address:
  • Phone: 206-543-3605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.MD.70026907
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: