Provider Demographics
NPI:1972575371
Name:ABOWD, MICHAEL CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHRISTOPHER
Last Name:ABOWD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2865 N REYNOLDS RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2068
Mailing Address - Country:US
Mailing Address - Phone:419-578-2020
Mailing Address - Fax:419-539-6323
Practice Address - Street 1:2865 N REYNOLDS RD
Practice Address - Street 2:SUITE 170
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2068
Practice Address - Country:US
Practice Address - Phone:419-578-2020
Practice Address - Fax:419-539-6323
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-085967A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7112700OtherAETNA PROVIDER NUMBER
OH1183130001OtherADMINASTAR NUMBER
OH000000369567OtherANTHEM NUMBER
OH04790OtherPARAMOUNT
OH2603481Medicaid
OHI12099Medicare UPIN
OH7112700OtherAETNA PROVIDER NUMBER
OH1183130001OtherADMINASTAR NUMBER
OH4159853Medicare PIN
OH4159851Medicare PIN