MEDICARE: DR. ASIM ABBASI 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
1	2083X0100X	Occupational Medicine Physician	P1442	TX
2	207R00000X	Internal Medicine Physician	P-1442	TX

General Provider Information

NPI Number	:	1922208776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASIM ABBASI M.D

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-4997
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 FM 1960 RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-2404
Country	:	US
Telephone Number	:	281-821-8200
Fax Number	:

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

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	09/29/2021

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