MEDICARE: HIYAM ABDELMAGID M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	75028181	OH
2	207R00000X	Internal Medicine Physician	57028181	OH
3	207RB0002X	Obesity Medicine (Internal Medicine) Physician	ME140899	FL
4	390200000X	Student in an Organized Health Care Education/Training Program
5	207R00000X	Internal Medicine Physician	ME140899	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174979157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIYAM ABDELMAGID M.D.

Provider Business Mailing Address
First Line	:	1910 HILLBROOKE TRL STE 2
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32311-7914
Country	:	US
Telephone Number	:	850-878-2637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 HILLBROOKE TRL STE 2
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32311-7914
Country	:	US
Telephone Number	:	850-878-2637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	03/02/2023

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Directions to “ HIYAM ABDELMAGID M.D.” Practice Location

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