Individual
ABDI A JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48649
MN
207RC0000X
Cardiovascular Disease Physician
Primary
48649
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110010823
—
IA
05
—
316933000
—
MN
05
—
35377600
—
WI
01
—
P00940118
RAILROAD MEDICARE
MN
Enumeration date
08/10/2006
Last updated
08/16/2011
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