Provider Demographics
NPI:1184693160
Name:ABDO, RAMI (MD)
Entity type:Individual
Prefix:DR
First Name:RAMI
Middle Name:
Last Name:ABDO
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 1:115A MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2746
Mailing Address - Country:US
Mailing Address - Phone:919-448-7494
Mailing Address - Fax:
Practice Address - Street 1:3643 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2702
Practice Address - Country:US
Practice Address - Phone:919-470-8466
Practice Address - Fax:919-470-8469
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036106177207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL110239142OtherRAILROAD MEDICARE NUMBER
IL3932056OtherBCBS GROUP NUMBER
IL213099OtherGHP INSURANCE NUMBER
IL482483OtherHEALTHLINK INSURANCE NUMB
IL7210895OtherAETNA
IL36106177Medicaid
IL075497OtherHAMP INSURANCE NUMBER
IL324108OtherGHP PROVIDER NUMBER
IL324108OtherGHP PROVIDER NUMBER
IL36106177Medicaid
IL075497OtherHAMP INSURANCE NUMBER
IL214881Medicare PIN
IL3932056OtherBCBS GROUP NUMBER
ILH65664Medicare UPIN