Abdullin, Marat I

Abdullin, Marat I is an individual health care provider with primary practice located at 2150 Main St , Springfield MA 01104-3566. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Abdullin, Marat I can be contacted via phone (413) 733-0010.

Contact Information

Primary practice address
2150 Main St Springfield MA 01104-3566
Fax: (413) 930-2108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 235121 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 235121 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 235121 Massachusetts

Profile Details

NPI number 1619159712
LBN Legal business name Abdullin, Marat I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Jul 21st, 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 1619159712 NPPES
Massachusetts MEDICAID 110079891A
Massachusetts Other 00064061

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