Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | NA | CA |
NPI | 1083230361 |
---|---|
Provider Name | Rabeea Abbas |
First Address | San Ramon, CA 94582-5711 |
Second Address | Vallejo, CA 94589-2441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2020 |
Last Update Date | 22/06/2020 |