MEDICARE: DR. SYED A. 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	207RI0011X	Interventional Cardiology Physician	185739	NY
2	207RI0011X	Interventional Cardiology Physician	20608	OK
3	207RI0011X	Interventional Cardiology Physician	A49149	CA
4	207RC0000X	Cardiovascular Disease Physician	20608	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CD6448	OTHER	OK	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326032731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED A. ABBAS M.D.

Provider Business Mailing Address
First Line	:	7800 NW 85TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5224 E I 240 SERVICE RD STE 201
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-2607
Country	:	US
Telephone Number	:	405-608-3800
Fax Number	:	405-628-6793

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	06/06/2022

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