Provider Demographics
NPI:1386199446
Name:KHURRAM ABBASS MD INC
Entity Type:Organization
Organization Name:KHURRAM ABBASS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHURRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-684-4104
Mailing Address - Street 1:200 JOSE FIGUERES AVE STE 480
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1595
Mailing Address - Country:US
Mailing Address - Phone:408-684-4104
Mailing Address - Fax:669-263-6050
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 480
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116
Practice Address - Country:US
Practice Address - Phone:408-684-4104
Practice Address - Fax:669-263-6050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty