MAHMOUD ABDELRAHMAN (NPI# 1467072868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467072868 |
| Entity Type | Individual |
| Full Name | MAHMOUD ABDELRAHMAN |
| Credential | MD |
| Practice Address |
2800 Main St Dept Of Bridgeport CT 06606-4292 |
| Practice Telephone | 4752105791 |
| Mailing Telephone | 4752105791 |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care |
| Street Address |
2800 MAIN ST DEPT OF |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437314648 | Saurabh Malhotra | Pathology | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | 2008-07-28 |
| 1659991628 | Sara Yumeen | Student in an Organized Health Care Education/Training Program | 2800 Main St Dept Of, Bridgeport, CT 06606-4292 | 2020-04-20 |
| 1598384547 | Buadi Kofi Tandoh | Student in an Organized Health Care Education/Training Program | 2800 Main St Dept Of, Bridgeport, CT 06606-4292 | 2020-04-09 |
| 1396374724 | Justyna M Michalik | Student in an Organized Health Care Education/Training Program | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | 2020-04-07 |
| 1447712187 | Armando A Vera | Student in an Organized Health Care Education/Training Program | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | 2019-04-02 |
| 1801356100 | Magdelene Doris Amoateng | Student in an Organized Health Care Education/Training Program | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | 2019-03-22 |
| 1114487485 | Rishi Chadha | Student in an Organized Health Care Education/Training Program | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | 2019-03-22 |
| 1508396763 | Jose Pichardo Castillo | Internal Medicine | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | 2017-06-19 |
| 1811253321 | Shawna Marie Kettyle | Surgery | 2800 Main St Dept Of, Bridgeport, CT 06606 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1639674120 | Wesley Nilsson | Student in an Organized Health Care Education/Training Program | 267 Grant St Dept Of, Bridgeport, CT 06610-2805 | 2018-03-27 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.