Provider Demographics
NPI:1184655466
Name:ABBASI, NUZHAT A (MD)
Entity Type:Individual
Prefix:
First Name:NUZHAT
Middle Name:A
Last Name:ABBASI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16401 NW 2ND AVE
Mailing Address - Street 2:#200
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:305-947-7196
Mailing Address - Fax:305-947-7776
Practice Address - Street 1:16401 NW 2ND AVE
Practice Address - Street 2:#200
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169
Practice Address - Country:US
Practice Address - Phone:305-947-7196
Practice Address - Fax:305-947-7776
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME34278207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039994900Medicaid
FL039994900Medicaid
FL95427Medicare PIN