Individual provider · NPI-1

Ghulam Abbas, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Tyler, TX

NPI number1003887407
StatusActive
Last updated in NPPESFeb 11, 2026

Details

NPI
1003887407
Entity type
Individual (NPI-1)
Name
Ghulam Abbas
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 1, 2006
Certification date
Feb 11, 2026
Last updated
Feb 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)V6245TXYes
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)25MA09524500NJ
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)27378WV

Practice location

700 Olympic Plaza Cir Ste 508
Tyler, TX 75701-1952

Phone 903-595-6680 · Fax 903-592-1934

Mailing address

700 Olympic Plaza Cir Ste 508
Tyler, TX 75701-1952

Phone 903-595-6680 · Fax 903-592-1934

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