Provider Demographics
NPI:1275856106
Name:ABBASI, UZMA (MD)
Entity Type:Individual
Prefix:DR
First Name:UZMA
Middle Name:
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 1:301 GENESEE ST STE A
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2644
Mailing Address - Country:US
Mailing Address - Phone:315-361-2385
Mailing Address - Fax:315-361-2386
Practice Address - Street 1:301 GENESEE ST STE A
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2644
Practice Address - Country:US
Practice Address - Phone:315-361-2385
Practice Address - Fax:315-361-2386
Is Sole Proprietor?:No
Enumeration Date:2010-03-06
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112558207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01152065OtherRAILROAD MEDICARE
CA1275856106Medicaid
CA1275856106Medicare NSC