Abaza, Mohamad Bassam
Abaza, Mohamad Bassam is an individual health care provider with primary practice located at 3156 Dustin Rd Suite 203, Oregon OH 43616-4342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Abaza, Mohamad Bassam can be contacted via phone (419) 698-1514.Contact Information
Primary practice address
3156 Dustin Rd Suite 203
Oregon OH 43616-4342
Phone: (419) 698-1514
Fax: (419) 698-3827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35100330 | Ohio |
Profile Details
| NPI number | 1184621963 |
|---|---|
| LBN Legal business name | Abaza, Mohamad Bassam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 30th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184621963 | NPPES |
| Ohio | Other | 12-01435 | UHC |
| Ohio | MEDICAID | 0277990 | UHC |
| Ohio | Other | 00002 | UHC |
| Ohio | Other | 0633278 | UHC |
| Ohio | Other | 000000211829 | UHC |
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