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NPI Code Detail

MEDICARE: DR. FADI ABBASS M.D.

MEDICARE: DR. FADI ABBASS 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
1207Y00000XOtolaryngology Physician35082113OH

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 : 1639283914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FADI ABBASS M.D.
Provider Business Mailing Address
First Line : 1001 BELLEFONTAINE AVE
Second Line :
City : LIMA
State : OH
Zip : 45804-2800
Country : US
Telephone Number : 419-228-3335
Fax Number : 419-998-4514
Provider Business Practice Location Address
First Line : 1220 E ELM ST STE 106
Second Line :
City : LIMA
State : OH
Zip : 45804-2803
Country : US
Telephone Number : 419-998-8244
Fax Number : 419-998-8243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/26/2023

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Directions to “ DR. FADI ABBASS M.D.” Practice Location

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