MEDICARE: MR. SYED SHAZER ABBAS

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1518816578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SYED SHAZER ABBAS

Provider Business Mailing Address
First Line	:	1400 MALL OF GEORGIA BLVD APT 1627
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-1139
Country	:	US
Telephone Number	:	888-407-2449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 MALL OF GEORGIA BLVD APT 1627
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-1139
Country	:	US
Telephone Number	:	888-407-2449
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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