Provider Demographics
NPI:1902652001
Name:ALEJO ABDALA, AIDIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AIDIN
Middle Name:
Last Name:ALEJO ABDALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7050
Mailing Address - Country:US
Mailing Address - Phone:919-966-4653
Mailing Address - Fax:919-966-8440
Practice Address - Street 1:101 MANNING DRIVE
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7050
Practice Address - Country:US
Practice Address - Phone:919-966-4653
Practice Address - Fax:919-966-8440
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRTL24-0179390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program