Provider Demographics
NPI:1255344131
Name:ABDELAAL, ALI F (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:F
Last Name:ABDELAAL
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 1:620 N. MAIN
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601
Mailing Address - Country:US
Mailing Address - Phone:870-365-0223
Mailing Address - Fax:870-365-0227
Practice Address - Street 1:620 N. MAIN
Practice Address - Street 2:CLAUDE PARRISH CANCER CENTER
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601
Practice Address - Country:US
Practice Address - Phone:870-365-0223
Practice Address - Fax:870-365-0227
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE0054174400000X, 207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR125128001Medicaid
AR125128001Medicaid
AR125128001Medicaid
ARF35753Medicare UPIN