MEDICARE: HAZIM ABABNEH MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1538962022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZIM ABABNEH MD

Provider Business Mailing Address
First Line	:	100 HEARD ST UNIT 540
Second Line	:
City	:	CHELSEA
State	:	MA
Zip	:	02150-1975
Country	:	US
Telephone Number	:	617-407-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	2103 CORNELL RD BLDG 5129
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-3860
Country	:	US
Telephone Number	:	216-368-3611
Fax Number	:

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

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	03/31/2025

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Directions to “ HAZIM ABABNEH MD” Practice Location

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