Provider Demographics
NPI:1154383313
Name:ALABDULKARIM, WAEL (MD)
Entity type:Individual
Prefix:
First Name:WAEL
Middle Name:
Last Name:ALABDULKARIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 RUE IBERVILLE STE 110
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3281
Mailing Address - Country:US
Mailing Address - Phone:337-234-0630
Mailing Address - Fax:337-234-0632
Practice Address - Street 1:201 RUE IBERVILLE STE 110
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3281
Practice Address - Country:US
Practice Address - Phone:337-234-0630
Practice Address - Fax:337-234-0632
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2005952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1721981Medicaid
LAH77569Medicare UPIN
LA4J980Medicare ID - Type Unspecified