Individual
DR. ABDOLLAH NABAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 S ALLEN ST, SUITE 223, STATE COLLEGE, PA 16801-4849
(814) 237-5411
(814) 237-2656
Mailing address
315 S ALLEN ST, SUITE 223, STATE COLLEGE, PA 16801-4849
(814) 237-5411
(814) 237-2656
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD038134L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005573140003
—
PA
Enumeration date
10/18/2006
Last updated
07/08/2007
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