Provider Demographics
NPI:1588493837
Name:ALLAF, ABDULRAHMAN MAMOON
Entity type:Individual
Prefix:
First Name:ABDULRAHMAN
Middle Name:MAMOON
Last Name:ALLAF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 NE 1ST AVE APT H2808
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4174
Mailing Address - Country:US
Mailing Address - Phone:407-715-2577
Mailing Address - Fax:
Practice Address - Street 1:3301 NE 1ST AVE APT H2808
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4174
Practice Address - Country:US
Practice Address - Phone:407-715-2577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program