Individual provider · NPI-1

Dr. Richard Anthony Aballay, MD

General Practice · Lewisburg, TN

NPI number1063577377
StatusActive
Last updated in NPPESJun 17, 2026

Details

NPI
1063577377
Entity type
Individual (NPI-1)
Name
Dr. Richard Anthony Aballay
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 27, 2006
Certification date
Jun 17, 2026
Last updated
Jun 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice04-46567KSYes
207P00000X Emergency MedicineML002796PA
208D00000X General Practice37440OK
207Q00000X Family MedicineML002796PA
207Q00000X Family Medicine22698WV
208D00000X General Practice42991TN

Practice location

529 W Commerce St
Lewisburg, TN 37091-3219

Phone 931-270-9729

Mailing address

Po Box 751
Hulbert, OK 74441-0751

Phone 918-772-3390 · Fax 918-772-2244

Other practice locations

1500 E Downing St Ste 214
Tahlequah, OK 74464-3379

Phone 918-431-0202

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