Bisher Abdullah

MD | Pediatric Gastroenterology | Male

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Complete Profile:

Bisher Abdullah basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Bisher Abdullah
Credential :	MD
Gender :	Male

Business Address:

Bisher Abdullah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1004 E Main Ste D Puyallup, WA, 98372-3199 United States
Phone Number :	253-268-0720
Fax Number :	253-466-7072

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1235161712
NPI Entity Type :	Individual
First Enrolment Date :	07 Jul, 2006
Last Updated On :	29 Aug, 2021

Medicare Participation:

Bisher Abdullah participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2769424084
Medicare Enrollment ID :	I20050526000659
Primary Specialty :	Undefined Physician Type (specify)
Medical School :	Other
Graduation Year :	1989
Accepts Medicare?	Yes. Bisher Abdullah accepts medicare insurance.

Group Practice Association:

Bisher Abdullah is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Bisher Abdullah is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
			1802 S Yakima Suite 300 Tacoma, WA - 984005305 Ph: 2537400977	May accept
			1907 Cooks Hill Rd Centralia, WA - 985319073 Ph: 25326807204	May accept
Center For Minimally Invasive Surgery Pllc	1658344817	3	1802 Yakima Ave Suite 202 Tacoma, WA - 984055304 Ph: 2535727120	Yes
Grays Harbor County Public Hospital District No 1	9032017256	32	610 E Main St Elma, WA - 985419353 Ph: 3603462222	Yes
Grays Harbor County Public Hospital District No 1	9032017256	32	600 E Main St Elma, WA - 985419560 Ph: 3603462222	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bisher Abdullah are as mentioned. Primary taxonomy code for Bisher Abdullah, MD is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
207RG0100X	Internal Medicine Gastroenterology	No	MD00035982	WA
208000000X	Pediatrics	No	MD00035982	WA
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	MD00035982	WA

Legacy Identifiers:

Other legacy medical identifiers of Bisher Abdullah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2080P0206X	Other	WA	TAXONOMY

Other Practice Locations:

Practice Address	City, State	Phone Number
1690 DUNLAWTON AVE STE 120, PORT ORANGE, FL, 32127-8980 United States	PORT ORANGE, FL	386-271-2273

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1004 E Main Ste D Puyallup, WA, 98372-3199 United States
Phone Number :	253-740-0977
Fax Number :	253-466-7072

Business Location:

Patients can refer following map for directions to Bisher Abdullah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.