Provider Demographics
NPI:1548765738
Name:ABBASI, UBAID RIAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:UBAID
Middle Name:RIAZ
Last Name:ABBASI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3401 NORTH BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3743
Mailing Address - Country:US
Mailing Address - Phone:225-387-0851
Mailing Address - Fax:225-383-8477
Practice Address - Street 1:3401 NORTH BLVD STE 400
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3743
Practice Address - Country:US
Practice Address - Phone:225-387-0851
Practice Address - Fax:225-383-8477
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA327421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine