Provider Demographics
NPI:1891059507
Name:ABDULLA, ABDULLA HUSSEIN (MD)
Entity type:Individual
Prefix:
First Name:ABDULLA
Middle Name:HUSSEIN
Last Name:ABDULLA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24200 VIA MAZZINI WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3439
Mailing Address - Country:US
Mailing Address - Phone:346-546-8028
Mailing Address - Fax:866-531-8156
Practice Address - Street 1:24200 VIA MAZZINI WAY STE 270
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3439
Practice Address - Country:US
Practice Address - Phone:346-546-8028
Practice Address - Fax:866-531-8156
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125061947207Q00000X
TXT3230208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist