Abbas, Gregory M

Abbas, Gregory M is an individual health care provider with primary practice located at 3515 Poplar Level Rd , Louisville KY 40213-1009. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Abbas, Gregory M can be contacted via phone (502) 459-3760.

Contact Information

Primary practice address
3515 Poplar Level Rd Louisville KY 40213-1009
Phone: (502) 459-3760
Fax: (502) 459-3717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 319958 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 31995 Kentucky

Profile Details

NPI number 1710983267
LBN Legal business name Abbas, Gregory M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 29th, 2022 - about 2 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 1710983267 NPPES
Kentucky Other 000000223729 BCBS
Kentucky Other 61-0719349 BCBS
Kentucky MEDICAID 64017916 BCBS

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