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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 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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