MEDICARE: ABDULLAH KADAN 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	208M00000X	Hospitalist Physician	15612	NH
2	390200000X	Student in an Organized Health Care Education/Training Program	57.246458	OH
3	207R00000X	Internal Medicine Physician	35.139316	OH

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982833133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDULLAH KADAN MD

Provider Business Mailing Address
First Line	:	4510 DORR ST # MS 840
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-4040
Country	:	US
Telephone Number	:	419-383-3455
Fax Number	:	419-383-2021

Provider Business Practice Location Address
First Line	:	3000 ARLINGTON AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2598
Country	:	US
Telephone Number	:	419-383-3455
Fax Number	:	419-383-2021

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

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	09/08/2021

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