# DR. ABDI RAISSI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770561961
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 10339 | NV | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 06/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200045560 | R.R. MEDICARE | — |
| 05 | — | 2018729 | — | NV |
| 01 | — | 7281120 | AETNA | — |
| 01 | — | CC6017 | BXBS | — |