MEDICARE: SAHERISH MAHFOOZ ABBASI DO

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	208M00000X	Hospitalist Physician	U9799	TX
2	207R00000X	Internal Medicine Physician	U9799	TX
3	390200000X	Student in an Organized Health Care Education/Training Program
4	208M00000X	Hospitalist Physician	313765	NY

General Provider Information

NPI Number	:	1326601113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAHERISH MAHFOOZ ABBASI DO

Provider Business Mailing Address
First Line	:	794 HOOVER DR
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-1592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 GESSNER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2501
Country	:	US
Telephone Number	:	713-242-3768
Fax Number	:

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

Provider Enumeration Date	:	04/17/2019
Last Update Date	:	03/05/2026

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