Individual
DR. ABDALLAH KABBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29000 CENTER RIDGE RD, 1ST FL - PAIN CENTER, WESTLAKE, OH 44145-5293
(440) 827-5058
(440) 827-5478
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 827-5058
(440) 827-5478
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.081154
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35081154
OH
208VP0000X
Pain Medicine Physician
Primary
35.081154
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0583328
BCMH
OH
05
—
2465961
—
OH
01
—
P00603623
MEDICARE RAILROAD
OH
Enumeration date
08/23/2005
Last updated
12/11/2020
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