Provider Demographics
NPI:1679884977
Name:ABDALLAH, RANY TALAL (MD, PHD, MBA)
Entity type:Individual
Prefix:DR
First Name:RANY
Middle Name:TALAL
Last Name:ABDALLAH
Suffix:
Gender:M
Credentials:MD, PHD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BECKS WOODS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3835
Mailing Address - Country:US
Mailing Address - Phone:855-932-7426
Mailing Address - Fax:833-392-7426
Practice Address - Street 1:100 BECKS WOODS DR STE 201
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3835
Practice Address - Country:US
Practice Address - Phone:855-932-7426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD25629207L00000X
VT042-0014502207L00000X
IL125062215207L00000X
PAMD457924207L00000X
NY310833-01207LP2900X
NJ25MA11040500207LP2900X
DEC1-0013736207LP2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine