Individual provider · NPI-1
Motaz Abas, MD
Internal Medicine · Peoria, IL
NPI number1215510201
StatusActive
Last updated in NPPESApr 28, 2021
Details
- NPI
- 1215510201
- Entity type
- Individual (NPI-1)
- Name
- Motaz Abas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2021
- Certification date
- Apr 28, 2021
- Last updated
- Apr 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | XXXXXXXX | IL | Yes |
Practice location
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-655-6384 · Fax 309-655-7732
Mailing address
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 309-655-2730 · Fax 309-655-3297
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