MEDICARE: ABDALLA MOHAMED ELKHIER MD

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	00023122	AL

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
2	H07998	OTHER	AL	HEALTH SPRINGS PROVIDER

General Provider Information

NPI Number	:	1649222753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDALLA MOHAMED ELKHIER MD

Provider Business Mailing Address
First Line	:	PO BOX 2419
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-5419
Country	:	US
Telephone Number	:	256-249-0061
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W FORT WILLIAMS ST
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-2436
Country	:	US
Telephone Number	:	256-249-0061
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/20/2008

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