Individual provider · NPI-1

Dr. Abdallah Abboud, M.D.

Internal Medicine, Pulmonary Disease · Minneapolis, MN

NPI number1912314824
StatusActive
Last updated in NPPESSep 30, 2024

Details

NPI
1912314824
Entity type
Individual (NPI-1)
Name
Dr. Abdallah Abboud
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2014
Certification date
Sep 30, 2024
Last updated
Sep 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease77328MNYes
207RP1001X Internal Medicine, Pulmonary Disease83324MT
207R00000X Internal Medicine83324MT
207R00000X Internal Medicine94-08419KS
207RC0200X Internal Medicine, Critical Care Medicine83324MT

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Phone 612-273-3000 · Fax 406-238-6814

Mailing address

2450 Riverside Ave
Minneapolis, MN 55454-1450

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