Provider Demographics
NPI:1699724484
Name:ABUDAYEH, NABIL KARIM (MD)
Entity type:Individual
Prefix:DR
First Name:NABIL
Middle Name:KARIM
Last Name:ABUDAYEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20700 LAKE CHABOT ROAD
Mailing Address - Street 2:STE 107
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5402
Mailing Address - Country:US
Mailing Address - Phone:510-886-6878
Mailing Address - Fax:510-886-0268
Practice Address - Street 1:20700 LAKE CHABOT ROAD
Practice Address - Street 2:STE 107
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5402
Practice Address - Country:US
Practice Address - Phone:510-886-6878
Practice Address - Fax:510-886-0268
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG059072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G590720Medicaid
110245276OtherRAILROAD MEDICARE
F03946Medicare UPIN
CA00G590720Medicaid