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TAHA ABDELAAL M.D

>> Contractor >> Other Service Providers

Registrant NPI Number: 1578638649

Individual Registrant:
 TAHA  ABDELAAL M.D
Gender: M
Sole Proprietor

Location and contact information for practice:
8599 HAVEN AVE STE 103  RANCHO CUCAMONGA, CA 91730-4849 US
Tel: 909-941-9955  Fax: 909-941-9966

Contact information for business:
8599 HAVEN AVE STE 103  RANCHO CUCAMONGA, CA 91730-4849 US
Tel: 909-941-9955  Fax: 909-941-9966

Registration Information:
NPI: 1578638649
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor
CAA92596

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CA PHYSICIAN LICENSEA92596CA01




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