MEDICARE: DR. DENNIS RAHIM ABBAS M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	G8558	TX

General Provider Information

NPI Number	:	1013928720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS RAHIM ABBAS M.D.

Provider Business Mailing Address
First Line	:	6300 SAMUELL BLVD STE 154
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-7101
Country	:	US
Telephone Number	:	214-388-8898
Fax Number	:	214-388-7898

Provider Business Practice Location Address
First Line	:	6300 SAMUELL BLVD STE 154
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-7101
Country	:	US
Telephone Number	:	214-388-8898
Fax Number	:	214-388-7898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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