Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABED AL-MAWLA JANDALI, M.D.
DeactivatedABED AL-MAWLA JANDALI, M.D. is a General Surgery healthcare provider located in GREEN ISLAND, New York. NPI 1003918277 is deactivated in the NPPES registry. Verify at CMS.
General Surgery · GREEN ISLAND, NY
This NPI has been deactivated.
The record was deactivated on May 1, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1003918277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (17.66393442623 yrs)
- Last Updated
- Jul 3, 2024
- Deactivated
- May 1, 2024
- Licenses
-
119867 (NY)119867 (NY)
Practice Information
- Address
-
13 ARCH STREETGREEN ISLAND, NY, 12183Browse NY providers · Browse ZIP 12183
- Phone
- 5182744654
- Fax
- 5182744654
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.