Abbas, Ismeth Sufi

Abbas, Ismeth Sufi is an individual health care provider with primary practice located at 820 Prudential Dr Ste 304 , Jacksonville FL 32207-8205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Abbas, Ismeth Sufi can be contacted via phone (904) 202-3860.

Contact Information

Primary practice address
820 Prudential Dr Ste 304 Jacksonville FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD151148 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME112430 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME112430 Florida

Profile Details

NPI number 1245328020
LBN Legal business name Abbas, Ismeth Sufi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Nov 16th, 2022 - about 3 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 1245328020 NPPES
Missouri MEDICAID 205394109
Missouri Other 14KJ3
Missouri MEDICAID 005929300

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