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NPI Code Detail

MEDICARE: KHUZEMAN ABBASI MD

MEDICARE: KHUZEMAN ABBASI 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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1841979952
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHUZEMAN ABBASI MD
Provider Business Mailing Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number :
Provider Business Practice Location Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 02/12/2026

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Directions to “ KHUZEMAN ABBASI MD” Practice Location

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