Basic Information
Provider Information
NPI: 1881919637
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABDI
FirstName: TSION
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 9910 FRANKLIN SQUARE DR STE 2110
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212364902
CountryCode: US
TelephoneNumber: 4109336423
FaxNumber:  
Practice Location
Address1: 4940 EASTERN AVE BLDG GASTRO
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212242735
CountryCode: US
TelephoneNumber: 4105507030
FaxNumber: 4105507861
Other Information
ProviderEnumerationDate: 04/05/2010
LastUpdateDate: 12/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100XD81729MDY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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