Provider Demographics
NPI:1811044605
Name:ABBAS, RASHIDA ALYIA (MD)
Entity Type:Individual
Prefix:
First Name:RASHIDA
Middle Name:ALYIA
Last Name:ABBAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28490207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-49225OtherBCBS
9357242OtherAETNA
AL111634Medicaid
AL510-49224OtherBCBS
AL515-98435OtherBCBS
AL104861Medicaid
AL515-98434OtherBCBS
AL111639Medicaid
AL111649Medicaid
AL111632Medicaid
AL111647Medicaid
AL510-49226OtherBCBS
P00679717OtherRAILROAD MEDICARE
AL510-45511OtherBCBS
AL111646Medicaid
AL515-98436OtherBCBS
ALP00795531OtherRAILROAD MEDICARE
AL510-45511OtherBCBS
AL111646Medicaid