MEDICARE: M WASSEF DABBAS MD

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	207R00000X	Internal Medicine Physician	041705	OH

General Provider Information

NPI Number	:	1215148226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M WASSEF DABBAS MD

Provider Business Mailing Address
First Line	:	1425 E STROOP RD
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-4927
Country	:	US
Telephone Number	:	937-298-6654
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 E STROOP RD
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-4927
Country	:	US
Telephone Number	:	937-298-6654
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. M WASSEF DABBAS
Credential	:	M.D.
Telephone Number	:	937-298-6654

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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