JOSEPH ABDALLA, DO

NPI 1114619954 Active Internal Medicine

Quick Facts

NPI Number

1114619954

Type

Individual (NPI-1)

Credential

Status

Active

Enumeration Date

2023-05-22

Last Updated (NPPES)

2026-06-24

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	E-20502 AR

Other Taxonomies

Student in an Organized Health Care Education/Training Program

Practice Address

2710 S RIFE MEDICAL LN
ROGERS, AR 727581452

Phone: 479-338-8000

Fax: 479-986-3448

Mailing Address

PO BOX 776084
CHICAGO, IL 606776084

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.