MEDICARE: DR. HAMID REZA 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
1	207T00000X	Neurological Surgery Physician	04-46861	KS
2	207T00000X	Neurological Surgery Physician	M2890	TX
3	207T00000X	Neurological Surgery Physician	54789	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932303526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMID REZA ABBASI MD

Provider Business Mailing Address
First Line	:	1601 HIGHWAY 13 E
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-6865
Country	:	US
Telephone Number	:	952-405-9760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 HIGHWAY 13 E
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337
Country	:	US
Telephone Number	:	952-405-9760
Fax Number	:

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

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	03/02/2026

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