Provider Demographics
NPI:1679754725
Name:ABBASI, MAAZ (MD)
Entity Type:Individual
Prefix:
First Name:MAAZ
Middle Name:
Last Name:ABBASI
Suffix:
Gender:M
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 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:281-724-1860
Mailing Address - Fax:281-724-1861
Practice Address - Street 1:500 N KOBAYASHI
Practice Address - Street 2:SUITE A
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4707
Practice Address - Country:US
Practice Address - Phone:281-724-1860
Practice Address - Fax:281-724-1861
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6992207RC0200X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192305404Medicaid
TXP01414237OtherRR MEDICARE
TX8EJ261OtherBCBSTX
TX352975YLMGMedicare PIN