Provider Demographics
NPI:1659542793
Name:ABDUL H. ABBASS, MD, INC
Entity Type:Organization
Organization Name:ABDUL H. ABBASS, MD, INC
Other - Org Name:OHIO ENT ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABBASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-297-9080
Mailing Address - Street 1:6693 N CHESTNUT ST
Mailing Address - Street 2:SUITE 21
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3922
Mailing Address - Country:US
Mailing Address - Phone:330-297-9080
Mailing Address - Fax:330-297-9077
Practice Address - Street 1:6693 N CHESTNUT ST
Practice Address - Street 2:SUITE 21
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3922
Practice Address - Country:US
Practice Address - Phone:330-297-9080
Practice Address - Fax:330-297-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9298451Medicare PIN