Healthcare Provider Details

I. General information

NPI: 1326677857
Provider Name (Legal Business Name): IMAD ABUMERI, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 10/27/2022
Certification Date: 09/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 F ST
BAKERSFIELD CA
93301-4237
US

IV. Provider business mailing address

PO BOX 22134
BAKERSFIELD CA
93390-2134
US

V. Phone/Fax

Practice location:
  • Phone: 661-404-4731
  • Fax: 661-404-4732
Mailing address:
  • Phone: 661-404-4731
  • Fax: 661-404-4732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. IMAD ABUMERI
Title or Position: PRESIDENT
Credential: MD, FAANS, FACS
Phone: 661-404-4731