MEDICARE: DR. SALEHA 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	2084P0800X	Psychiatry Physician	MD063023L	PA

General Provider Information

NPI Number	:	1144283052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALEHA ABBAS M.D.

Provider Business Mailing Address
First Line	:	900 MAIN STREET
Second Line	:
City	:	UPLAND
State	:	PA
Zip	:	19015
Country	:	US
Telephone Number	:	215-734-9273
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 MAIN ST
Second Line	:
City	:	UPLAND
State	:	PA
Zip	:	19015-2638
Country	:	US
Telephone Number	:	215-248-6700
Fax Number	:

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	05/23/2017

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