Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abdilatif A Abdulhakim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104405307

Abdilatif A Abdulhakim, MD is an Anesthesiology in Lynchburg, Virginia. Graduated from Medical College of Georgia School of Medicine in 2021, 5 years ago. Practices with Centra Medical Group LLC, a 717-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Trained at
Medical College of Georgia School of Medicine
Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone: (434) 200-1143
Fax: (434) 200-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046-4303 — (678) 312-1000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101287275 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116037154 (VA)

Record details

NPI number1104405307
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address4004 W Broad St Apt 305, Richmond, VA 23230-3981

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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