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NPI Code Detail

MEDICARE: ANTHONY JASSEIM ABDULLAH M.D.

MEDICARE: ANTHONY JASSEIM ABDULLAH 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
1207P00000XEmergency Medicine Physician35083312AOH

Other Identifiers

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

General Provider Information

NPI Number : 1457319386
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY JASSEIM ABDULLAH M.D.
Provider Business Mailing Address
First Line : 5112 GRIFFIS LAKE DR
Second Line :
City : LIBERTY TWP
State : OH
Zip : 45011-5919
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 630 EATON AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45013-2767
Country : US
Telephone Number : 513-867-2270
Fax Number : 513-867-2581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 07/01/2019

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