Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | R77898 | AZ |
NPI | 1003437872 |
---|---|
Provider Name | Mohammed Abbas |
First Address | Tucson, AZ 85718-3378 |
Second Address | Tucson, AZ 85724-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2020 |
Last Update Date | 02/05/2020 |