Raid Abdulla

MD | Pediatric Cardiology | Male

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Complete Profile:

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

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Raid Abdulla
Credential :	MD
Gender :	Male

Business Address:

Raid Abdulla 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 :	1653 W Congress Pkwy, 770 Jones Chicago, IL, 60612-3833 United States
Phone Number :	312-942-6800
Fax Number :	312-942-6801

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 :	1710037742
NPI Entity Type :	Individual
First Enrolment Date :	11 Jan, 2007
Last Updated On :	21 Apr, 2021

Medicare Participation:

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

Medicare PECOS ID :	2668448663
Medicare Enrollment ID :	I20040909000850
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1981
Accepts Medicare?	Yes. Raid Abdulla accepts medicare insurance.

Group Practice Association:

Raid Abdulla 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 Raid Abdulla 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
Pediatric Faculty Foundation Inc	4789597279	115	225 E Chicago Ave Chicago, IL - 606112991 Ph: 8005437362	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 Raid Abdulla are as mentioned. Primary taxonomy code for Raid Abdulla, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	036-085177	IL
2080P0202X	Pediatrics Pediatric Cardiology	Yes	036085177	IL

Legacy Identifiers:

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

Identifier	Identifier Type	State	Issuer
036085177	MEDICAID	IL

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

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 :	1653 W Congress Pkwy, 770 Jones Chicago, IL, 60612-3833 United States
Phone Number :	312-942-6800
Fax Number :	312-942-6801

Business Location:

Patients can refer following map for directions to Raid Abdulla 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.