Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | R-09981 | IA |
NPI | 1225446420 |
---|---|
Provider Name | Dr. Muhammad Abbas |
First Address | Coralville, IA 52241-2581 |
Second Address | Coralville, IA 52241-2581 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2014 |
Last Update Date | 31/07/2014 |