Individual
DR. MARAT I ABDULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 MAIN ST, SPRINGFIELD, MA 01104-3566
(413) 733-0010
(413) 930-2108
Mailing address
PO BOX 366, LUDLOW, MA 01056-0366
(413) 733-0010
(413) 930-2108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235121
MA
207RN0300X
Nephrology Physician
Primary
235121
MA
208M00000X
Hospitalist Physician
235121
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00064061
MEDICARE
MA
05
—
110079891A
—
MA
Enumeration date
11/29/2007
Last updated
07/21/2022
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