NPI 1114619954 · live from the CMS NPI Registry
Joseph Angelo Abdalla, DO
Internal Medicine in Rogers, AR. National Provider Identifier 1114619954, active.
NPI record
| NPI | 1114619954 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2710 S Rife Medical Ln, Rogers, AR 72758 |
| Practice phone | 479-338-8000 |
| Mailing address | Po Box 776084, Chicago, IL 60677 |
| Enumerated | May 22, 2023 |
| Last updated | June 24, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine primary | 207R00000X | E-20502 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.