Provider Demographics
NPI:1578355905
Name:ABDULQUDUS, IBRAHIM ABIODUN (MBBS)
Entity type:Individual
Prefix:
First Name:IBRAHIM
Middle Name:ABIODUN
Last Name:ABDULQUDUS
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY WOODHULL HOSPITAL
Mailing Address - Street 2:PEDIATRIC ADMINISTRATION ROOM 6027
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8779
Mailing Address - Fax:718-963-7957
Practice Address - Street 1:WOODHULL / NYC HEALTH HOSPITALS
Practice Address - Street 2:760 BROADWAY PEDS ADMIN ROOM 6027
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program