Provider Demographics
NPI:1043422843
Name:ABATI, ANDREA D (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:D
Last Name:ABATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:ABATI SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11820 PARKLAWN DR STE 402
Mailing Address - Street 2:DERMPATH DIAGNOSTICS
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2556
Mailing Address - Country:US
Mailing Address - Phone:301-816-1781
Mailing Address - Fax:301-816-1785
Practice Address - Street 1:11820 PARKLAWN DR STE 402
Practice Address - Street 2:DERMPATH DIAGNOSTICS
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2556
Practice Address - Country:US
Practice Address - Phone:301-816-1781
Practice Address - Fax:301-816-1785
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043470207ZP0101X
NY163589207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology