Provider Demographics
NPI:1740404375
Name:ABBAS, MUNEEL (MBBS)
Entity Type:Individual
Prefix:DR
First Name:MUNEEL
Middle Name:
Last Name:ABBAS
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 E 2ND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:WV
Mailing Address - Zip Code:25661-3601
Mailing Address - Country:US
Mailing Address - Phone:304-235-2930
Mailing Address - Fax:304-235-2933
Practice Address - Street 1:183 E 2ND AVE STE 1
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3601
Practice Address - Country:US
Practice Address - Phone:304-235-2930
Practice Address - Fax:304-235-2933
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23889207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine