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Individual
DR. SERGE ABDISHOO
Active
Individual
DR. SERGE ABDISHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A85433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A854330
—
CA
01
—
384508
MGD HEALTH NETWORK PIN
CA
01
—
7165847
AETNA BH PIN
—
Enumeration date
07/26/2006
Last updated
06/17/2014
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