Individual
DR. ABRAHAM MOSES PANOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99283
CA
207RG0100X
Gastroenterology Physician
Primary
ME101157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000217600
—
FL
01
—
44704
LICENSE
AZ
05
—
658249
—
AZ
Enumeration date
08/17/2007
Last updated
06/25/2012
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