Abusaa, Taysir M.

Abusaa, Taysir M. is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Abusaa, Taysir M. can be contacted via phone (601) 984-2000.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X W0715043 Mississippi

Profile Details

NPI number 1124062492
LBN Legal business name Abusaa, Taysir M.
Credentials M.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 22nd, 2023 - about last year

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 1124062492 NPPES
Mississippi MEDICAID 00117215
Mississippi MEDICAID 1685241

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