Individual
FADIA M ABAZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1661 HOLLAND RD, STE 100, MAUMEE, OH 43537-4206
(419) 891-6262
(419) 891-6263
Mailing address
1661 HOLLAND RD, STE 100, MAUMEE, OH 43537-4206
(419) 891-6262
(419) 891-6263
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35039670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141261
ANTHEM
OH
01
—
00001
PARAMOUNT
OH
05
—
0318409
—
OH
01
—
0633277
AETNA
OH
01
—
12-01169
UHC
OH
Enumeration date
06/22/2005
Last updated
07/08/2007
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