Abdoli, Abolghasem

Abdoli, Abolghasem is an individual health care provider with primary practice located at 751 S Bascom Ave Pediatrics Dept, San Jose CA 95128-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Abdoli, Abolghasem can be contacted via phone (408) 885-6616.

Contact Information

Primary practice address
751 S Bascom Ave Pediatrics Dept San Jose CA 95128-2604
Phone: (408) 885-6616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A49572 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A49572 California

Profile Details

NPI number 1790757441
LBN Legal business name Abdoli, Abolghasem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 9th, 2007 - about 19 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 1790757441 NPPES
California MEDICAID 00A495720

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