Provider Demographics
NPI:1982646352
Name:ABBASINEJAD, MEISHA KAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:MEISHA
Middle Name:KAMA
Last Name:ABBASINEJAD
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:PO BOX 64575
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306
Mailing Address - Country:US
Mailing Address - Phone:910-630-1112
Mailing Address - Fax:910-425-1110
Practice Address - Street 1:1540 PURDUE DR
Practice Address - Street 2:STE. 200
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5509
Practice Address - Country:US
Practice Address - Phone:910-630-1112
Practice Address - Fax:910-425-1110
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300737208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00222198OtherMEDICARE RAILROAD
NC136C3OtherBCNS OF NC
NCE2365OtherMEDCOST
NC89136C3Medicaid
NCP00222198OtherMEDICARE RAILROAD
NC89136C3Medicaid