Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 28728 | TN |
N | 2080A0000X | Adolescent Medicine | MD0000028728 | TN |
NPI | 1225169097 |
---|---|
Provider Name | Dr. Seema Abbasi |
First Address | Atlanta, GA 30384-5827 |
Second Address | Memphis, TN 38119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 25/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C25439 | (02) | TN |