Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35-068071 | OH |
NPI | 1023053980 |
---|---|
Provider Name | Dr. Hassan Abbass |
First Address | Cleveland, OH 44194-0002 |
Second Address | Mayfield Heights, OH 44124-4071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 03/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2052059 | (05) | OH |
G78324 | (02) | OH |