Individual
DR. ELIAS HABIB ABBOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22741 HIGHWAY 12, LEXINGTON, MS 39095-3118
(662) 834-1961
(662) 834-1962
Mailing address
22741 HIGHWAY 12, LEXINGTON, MS 39095-3118
(662) 834-1961
(662) 834-1962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14192
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115622
—
MS
01
—
080142886
RAILROAD MEDICARE PTAN
MS
05
—
09807861
—
MS
Enumeration date
08/15/2006
Last updated
03/07/2023
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