Provider Demographics
NPI:1982193785
Name:ABBAS, RAMLA (MD)
Entity Type:Individual
Prefix:
First Name:RAMLA
Middle Name:
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 1:2001 KINGSLEY AVENUE C/O TERESA PITCHFORD
Mailing Address - Street 2:SUITE #108
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073
Mailing Address - Country:US
Mailing Address - Phone:904-639-2000
Mailing Address - Fax:904-639-2015
Practice Address - Street 1:2001 KINGSLEY AVENUE C/O TERESA PITCHFORD
Practice Address - Street 2:SUITE #108
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073
Practice Address - Country:US
Practice Address - Phone:904-639-2000
Practice Address - Fax:904-639-2015
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine