Provider Demographics
NPI:1194550251
Name:ABDULLAH, RIBWAR RIDHA (MD)
Entity type:Individual
Prefix:
First Name:RIBWAR
Middle Name:RIDHA
Last Name:ABDULLAH
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 1:1500 OWENS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2334
Mailing Address - Country:US
Mailing Address - Phone:415-353-2808
Mailing Address - Fax:
Practice Address - Street 1:122 QANAT STREET
Practice Address - Street 2:
Practice Address - City:SULAIMANI
Practice Address - State:KRG
Practice Address - Zip Code:00964
Practice Address - Country:IQ
Practice Address - Phone:770-143-2407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator