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Individual

ABDI A JAMA

Active
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Individual

ABDI A JAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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