Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 35087835 | OH |
NPI | 1619181559 |
---|---|
Provider Name | Hadeel Abaza |
First Address | Toledo, OH 43606-3845 |
Second Address | Toledo, OH 43606-3845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000576744 | ANTHEM (01) | OH |
2867198 | (05) | OH |
50027 | HEALTH PLAN OF MICHIGAN (01) | OH |