Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01051717A | IN |
N | 111NI0900X | Internist | 01051717A | IN |
Y | 207RP1001X | Pulmonary Disease | 01051717A | IN |
NPI | 1043486343 |
---|---|
Provider Name | Faheem A. Abbasi |
First Address | Indianapolis, IN 46250-2805 |
Second Address | Indianapolis, IN 46227-0963 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 27/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200294680 | (05) | IN |
7100044060 | KY MCD (01) | IN |
H20856 | (02) | |
P01157024 | MEDICARE RR (01) | IN |