Organization
GHULAM ABBAS, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHULAM ABBAS MD (CEO)
(301) 787-8030
Entity
Organization
Contact information
Practice address
198 THOMAS JOHNSON DR, 104, FREDERICK, MD 21702-4398
(301) 694-0580
Mailing address
493 CRUSADER DR, SYKESVILLE, MD 21784-7763
(410) 549-2396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201474ZDU1
MEDICARE PTAN
—
01
—
D62471
MD LICENSE
MD
01
—
M62196
CSD
MD
Enumeration date
08/19/2013
Last updated
08/19/2013
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