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HANEEN YASIN ABDELLA MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1043451941
Individual Registrant: HANEEN YASIN ABDELLA MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3100 SW 62 AVE # 121 / NE WING MIAMI, FL 33155 US
Tel: 305-662-8360 Fax: 305-666-6387
Tel: 305-662-8360 Fax: 305-666-6387
Contact information for business:
5955 PONCE DE LEON BLVD CORAL GABLES, FL 33146 US
Tel: 305-661-1515 Fax: 305-662-3723
Tel: 305-661-1515 Fax: 305-662-3723
Registration Information:
NPI: 1043451941
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | FL | TRN9856 |
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | FL | ME104441 |
| N | 390200000X | Student Organized Health Care Education/Training Program | GA | 64171 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
