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General NPI Number Information
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NPI Number | 1477805919
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Entity Type | Individual
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Provider Name | AHMAD ABBAD ISBITAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 18220 STATE HIGHWAY 249 STE 205
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City | HOUSTON
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State | TX
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Zip | 77070-4347
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Country | US
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Telephone | 833-241-2001
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Fax | 281-547-7464
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Provider Business Mailing Address
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Address Line | 18220 STATE HIGHWAY 249 STE 205
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City | HOUSTON
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State | TX
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Zip | 77070-4347
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Country | US
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Telephone | 832-241-2001
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Fax | 281-547-7464
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 48655
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 48655
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | T5927
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License Number State | TX
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