Abaza, Fadia M

Abaza, Fadia M is an individual health care provider with primary practice located at 1661 Holland Rd Ste 100, Maumee OH 43537-4206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abaza, Fadia M can be contacted via phone (419) 891-6262.

Contact Information

Primary practice address
1661 Holland Rd Ste 100 Maumee OH 43537-4206
Phone: (419) 891-6262
Fax: (419) 891-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35039670 Ohio

Profile Details

NPI number 1013913243
LBN Legal business name Abaza, Fadia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013913243 NPPES
Ohio Other 000000141261 ANTHEM
Ohio Other 00001 ANTHEM
Ohio Other 12-01169 ANTHEM
Ohio MEDICAID 0318409 ANTHEM
Ohio Other 0633277 ANTHEM

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