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NPI Code Detail

MEDICARE: MICHAEL GBOLAHAN ABASS

MEDICARE: MICHAEL GBOLAHAN ABASS
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
1183500000XPharmacistPH20005248DC

General Provider Information

NPI Number : 1801742077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GBOLAHAN ABASS
Provider Business Mailing Address
First Line : 5501 45TH AVE APT 219
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20781-1588
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 CARROLL ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-2001
Country : US
Telephone Number : 202-722-7593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MICHAEL GBOLAHAN ABASS ” Practice Location

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