Provider Demographics
NPI:1891215588
Name:RAMADAS ABBOY M.D. INCORPORATED
Entity Type:Organization
Organization Name:RAMADAS ABBOY M.D. INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMADAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-263-9779
Mailing Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 3100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-2469
Mailing Address - Country:US
Mailing Address - Phone:323-263-9779
Mailing Address - Fax:323-981-0322
Practice Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 3100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2469
Practice Address - Country:US
Practice Address - Phone:323-263-9779
Practice Address - Fax:323-981-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26771207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1780765933OtherPRIVATE INSURANCE
CA1780765933OtherPRIVATE INSURANCE