Provider Demographics
NPI:1437114113
Name:ABDULIAN, JOHN DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DANIEL
Last Name:ABDULIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7095 N CHESTNUT AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0360
Mailing Address - Country:US
Mailing Address - Phone:559-323-8200
Mailing Address - Fax:559-323-9200
Practice Address - Street 1:7095 N CHESTNUT AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0360
Practice Address - Country:US
Practice Address - Phone:559-323-8200
Practice Address - Fax:559-323-9200
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2891207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W027Medicare ID - Type UnspecifiedGROUP NUMBER
TX8F2110Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
TXF14968Medicare UPIN