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NPI Code Detail

MEDICARE: DR. SEYED ABBAS MIRABBASI M.D

MEDICARE: DR. SEYED ABBAS MIRABBASI 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
1207R00000XInternal Medicine Physician19637NV
2207R00000XInternal Medicine PhysicianA168323CA
3207R00000XInternal Medicine PhysicianD87254MD
4208M00000XHospitalist Physician82866-20WI
5207R00000XInternal Medicine PhysicianME136179FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
219637OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1427449297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEYED ABBAS MIRABBASI M.D
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 390 W LAKE MEAD PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7417
Country : US
Telephone Number : 725-220-8477
Fax Number : 833-749-0360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2015
Last Update Date : 02/13/2026

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