Individual provider · NPI-1
Ismail Abbasi, M.D.
Pediatrics, Neonatal-Perinatal Medicine · Mishawaka, IN
NPI number1427035989
StatusActive
Last updated in NPPESNov 24, 2014
Details
- NPI
- 1427035989
- Entity type
- Individual (NPI-1)
- Name
- Ismail Abbasi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2005
- Last updated
- Nov 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 01032923A | IN | Yes |
Practice location
5215 Holy Cross PkwyMishawaka, IN 46545-1469
Phone 574-335-5000
Mailing address
Po Box 6309South Bend, IN 46660-6309
Phone 574-335-8700 · Fax 574-335-0760
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