Healthcare Provider Details

I. General information

NPI: 1376197772
Provider Name (Legal Business Name): ABIDA NAZ MD, MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLEVELAND CLINIC MAIN CAMPUS AT 9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

CLEVELAND CLINIC MAIN CAMPUS AT 9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35.152327
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25MA12433700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: