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General NPI Number Information
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NPI Number | 1508890518
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Entity Type | Individual
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Provider Name | SHERIF G. NOUR ABDALLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE DEPT OF RADIOLOGY, EUHOSPITAL, SUITE BG-48
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-712-1868
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Fax | 404-712-1871
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Provider Business Mailing Address
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Address Line | 1364 CLIFTON RD NE DEPT OF RADIOLOGY, SUITE BG-48
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-778-3164
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Fax | 404-712-1871
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-084413
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 061627
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License Number State | GA
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