Basic Information
| Provider Information | |||||||||
| NPI: | 1962769380 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABBAS | ||||||||
| FirstName: | NASEER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 431 5TH AVE NE | ||||||||
| Address2: | |||||||||
| City: | ISSAQUAH | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980295017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514060230 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1717 S J ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534266341 | ||||||||
| FaxNumber: | 2534266344 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2012 | ||||||||
| LastUpdateDate: | 08/05/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD.44476 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 036.156576 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | C0855 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | D94605 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD26173 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | EMC0002085 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 22836 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 39783 | OK | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 66199 | TN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 042.0016174-COMP | VT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 2060-320 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 31475 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD60555527 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.