Individual provider · NPI-1

Syed Ali Abbas, MD

Psychiatry & Neurology, Psychiatry · Louisville, KY

NPI number1205458247
StatusActive
Last updated in NPPESJun 26, 2024

Details

NPI
1205458247
Entity type
Individual (NPI-1)
Name
Syed Ali Abbas
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2020
Certification date
Jun 26, 2024
Last updated
Jun 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry58245KYYes
2084P0800X Psychiatry & Neurology, PsychiatryTP479KY
2084P0800X Psychiatry & Neurology, PsychiatryR5411KY
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

401 E Chestnut St Unit 600
Louisville, KY 40202-5705

Phone 502-588-4865

Mailing address

5514 Antle Dr
Louisville, KY 40229-2955

Phone 716-930-3412

Other practice locations

2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570

Phone 270-417-7980 · Fax 270-417-7989

908 Wallace Ave Ste 201
Leitchfield, KY 42754-1495

Phone 270-230-0212 · Fax 270-230-0104

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