Provider Demographics
NPI:1821185133
Name:ABBAH, EFFIEM J (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:EFFIEM
Middle Name:J
Last Name:ABBAH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 65TH ST APT 348
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1171
Mailing Address - Country:US
Mailing Address - Phone:510-923-0270
Mailing Address - Fax:
Practice Address - Street 1:601 VAN NESS AVE STE 2008
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6310
Practice Address - Country:US
Practice Address - Phone:415-674-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine