Individual
MOHAMAD Y ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 BANDANA BLVD E, STE 100, SAINT PAUL, MN 55108-5113
(651) 241-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25960
AL
207R00000X
Internal Medicine Physician
39132
IA
207RI0200X
Infectious Disease Physician
106413
MN
207RI0200X
Infectious Disease Physician
25960
AL
207RI0200X
Infectious Disease Physician
39132
IA
207RI0200X
Infectious Disease Physician
Primary
55841
MN
207RI0200X
Infectious Disease Physician
55841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009956935
—
AL
05
—
1154404549
—
IA
01
—
51524342
BCBS
AL
Enumeration date
10/23/2006
Last updated
03/11/2021
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