Individual provider · NPI-1

Dr. Michael M Abawkaw, MD

Internal Medicine · Minneapolis, MN

NPI number1114503315
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1114503315
Entity type
Individual (NPI-1)
Name
Dr. Michael M Abawkaw
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2021
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine76174MNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-863-4000 · Fax 763-236-3026

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

Other practice locations

4500 Parsons Blvd
Flushing, NY 11355-2205

Phone 718-206-6000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Minneapolis, MN