Dheyab, Abduljabbar A
Dheyab, Abduljabbar A is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Dheyab, Abduljabbar A can be contacted via phone (508) 856-1975.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655
Phone: (508) 856-1975
Fax: (774) 442-3999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 257687 | Massachusetts |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01087366A | Indiana |
Profile Details
| NPI number | 1053607580 |
|---|---|
| LBN Legal business name | Dheyab, Abduljabbar A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2011 |
| Last updated | Apr 24th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053607580 | NPPES |
| Massachusetts | MEDICAID | 110115567A |
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