MEDICARE: JOSEF Z ABBO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	13637	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	125053598	OTHER	IL	125053598

General Provider Information

NPI Number	:	1104016872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEF Z ABBO M.D.

Provider Business Mailing Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102
Country	:	US
Telephone Number	:	702-383-2000
Fax Number	:	702-233-1081

Provider Business Practice Location Address
First Line	:	5785 CENTENNIAL CENTER BLVD STE 190
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-7110
Country	:	US
Telephone Number	:	702-383-6270
Fax Number	:	702-207-8896

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	08/05/2025

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Directions to “ JOSEF Z ABBO M.D.” Practice Location

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