Individual provider · NPI-1

Jasim Abbasi, DO

Family Medicine · Erie, PA

NPI number1396537452
StatusActive
Last updated in NPPESMay 22, 2025

Details

NPI
1396537452
Entity type
Individual (NPI-1)
Name
Jasim Abbasi
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2025
Certification date
May 22, 2025
Last updated
May 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOT024289PAYes

Practice location

5515 Peach St
Erie, PA 16509-2603

Phone 814-864-4031

Mailing address

38601 Mentor Ave Apt 112
Willoughby, OH 44094-8079

Phone 419-345-0505

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