Provider Demographics
NPI:1528849262
Name:ABI, ELDIN EGOH (MD)
Entity type:Individual
Prefix:MR
First Name:ELDIN
Middle Name:EGOH
Last Name:ABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 RANDY CT
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1786
Mailing Address - Country:US
Mailing Address - Phone:240-581-2141
Mailing Address - Fax:
Practice Address - Street 1:4901 RANDY CT
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1786
Practice Address - Country:US
Practice Address - Phone:240-581-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator