Provider Demographics
NPI:1912005596
Name:ABBASI, SAADAT (MD)
Entity Type:Individual
Prefix:DR
First Name:SAADAT
Middle Name:
Last Name:ABBASI
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 1:7840 SHEPHERDS GLEN CT
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9791
Mailing Address - Country:US
Mailing Address - Phone:269-375-1222
Mailing Address - Fax:
Practice Address - Street 1:7840 SHEPHERDS GLEN CT
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-9791
Practice Address - Country:US
Practice Address - Phone:269-375-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055561207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine