Healthcare Provider Details

I. General information

NPI: 1225362221
Provider Name (Legal Business Name): SUHAIL A ABBASI MD,FACP,FHM,FRCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2009
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 NORTH ST
BATAVIA NY
14020-1631
US

IV. Provider business mailing address

127 NORTH ST DEPARTMENT OF MEDICINE.
BATAVIA NY
14020
US

V. Phone/Fax

Practice location:
  • Phone: 585-344-7269
  • Fax:
Mailing address:
  • Phone: 443-470-3698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number314584
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number11048
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number314584
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: