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NPI Code Detail

MEDICARE: DR. ABDOLLAH ASSAD M.D.

MEDICARE:  DR. ABDOLLAH  ASSAD  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
12084P0805XGeriatric Psychiatry Physician10883NV

General Provider Information

NPI Number : 1588633143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDOLLAH ASSAD M.D.
Provider Business Mailing Address
First Line : 628 N LAKE ST
Second Line :
City : RENO
State : NV
Zip : 89501-1020
Country : US
Telephone Number : 775-329-1717
Fax Number : 775-329-2067
Provider Business Practice Location Address
First Line : 628 N LAKE ST
Second Line :
City : RENO
State : NV
Zip : 89501-1020
Country : US
Telephone Number : 775-329-1717
Fax Number : 775-329-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ABDOLLAH ASSAD M.D.” Practice Location

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