Individual
DR. FAYEZ DIMITRI ABBOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3130 N COUNTY RD 25A, SUITE 109, TROY, OH 45373-1337
(937) 440-9292
(937) 440-4227
Mailing address
3130 N COUNTY RD 25A, SUITE 109, TROY, OH 45373-1337
(937) 440-9292
(937) 440-4227
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35058700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0877663
—
OH
01
—
AB0717543
MEDICARE PTAN
OH
Enumeration date
08/03/2005
Last updated
09/15/2015
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