MEDICARE: MELVIN N ABEND MD PC

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	208600000X	Surgery Physician	015060	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1396738712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELVIN N ABEND MD PC

Provider Business Mailing Address
First Line	:	4553 N SHALLOWFORD RD
Second Line	:	STE 40B
City	:	ATLANTA
State	:	GA
Zip	:	30338-6408
Country	:	US
Telephone Number	:	770-455-3753
Fax Number	:	770-458-9622

Provider Business Practice Location Address
First Line	:	4553 N SHALLOWFORD RD
Second Line	:	STE 40B
City	:	ATLANTA
State	:	GA
Zip	:	30338-6408
Country	:	US
Telephone Number	:	770-455-3753
Fax Number	:	770-458-9622

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MELVIN N ABEND
Credential	:	MD
Telephone Number	:	770-455-3753

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	08/22/2020

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Directions to “MELVIN N ABEND MD PC ” Practice Location

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