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Individual

MOHAMAD BASSAM ABAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3156 DUSTIN RD, SUITE 203, OREGON, OH 43616-4342
(419) 698-1514
(419) 698-3827
Mailing address
3156 DUSTIN RD, SUITE 203, OREGON, OH 43616-4342
(419) 698-1514
(419) 698-3827

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35100330
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000211829
ANTHEM
OH
01
00002
PARAMOUNT
OH
05
0277990
OH
01
0633278
AETNA
OH
01
12-01435
UHC
OH
Enumeration date
07/07/2005
Last updated
10/30/2013
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