Individual
SHAZIA ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 PENNSYLVANIA AVE, SUITE 104, OTTUMWA, IA 52501-6413
(641) 682-4594
(641) 682-2123
Mailing address
1005 PENNSYLVANIA AVE, SUITE 104, OTTUMWA, IA 52501-6413
(641) 682-4594
(641) 682-2123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017022697
MO
207R00000X
Internal Medicine Physician
39129
IA
208M00000X
Hospitalist Physician
036143798
IL
208M00000X
Hospitalist Physician
2017022697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205086998
—
IA
Enumeration date
09/30/2008
Last updated
01/29/2021
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