Provider Demographics
NPI:1326136243
Name:ABALIHI, CAROL N (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:N
Last Name:ABALIHI
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:PO BOX 972990
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79997-2990
Mailing Address - Country:US
Mailing Address - Phone:915-225-4470
Mailing Address - Fax:915-533-8055
Practice Address - Street 1:12350 PASEO NUEVO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-5668
Practice Address - Country:US
Practice Address - Phone:915-225-4470
Practice Address - Fax:915-533-8055
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA64547207R00000X, 208000000X
NMMD2011-0215207R00000X, 208000000X
TXN1507208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX298101Medicaid
NJ7707207Medicaid
TX8F20639Medicare PIN
TX298101Medicaid
NJ009062Medicare PIN