Individual provider · NPI-1

Mohamed Abbas, MD

Radiology, Diagnostic Radiology · Brooklyn, NY

NPI number1811407141

StatusActive

Last updated in NPPESOct 6, 2023

Details

NPI: 1811407141
Entity type: Individual (NPI-1)
Name: Mohamed Abbas
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Sep 29, 2017
Certification date: Oct 6, 2023
Last updated: Oct 6, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	97127	GA	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–
2085R0204X	Radiology, Vascular & Interventional Radiology	97127	GA
390200000X	Student in an Organized Health Care Education/Training Program	–	GA

Practice location

1 Brookdale Plz
Brooklyn, NY 11212-3139

Phone 718-240-5000

Mailing address

1364 Clifton Rd Ne
Atlanta, GA 30322-1059

Phone 404-778-4747

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