Provider Demographics
NPI:1205071164
Name:ABDO, ABIR (MD)
Entity type:Individual
Prefix:DR
First Name:ABIR
Middle Name:
Last Name:ABDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ABIR
Other - Middle Name:GEORGES
Other - Last Name:ABDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3087
Mailing Address - Street 2:CREDENTIALING
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-3087
Mailing Address - Country:US
Mailing Address - Phone:985-230-1682
Mailing Address - Fax:985-230-6652
Practice Address - Street 1:15813 PAUL VEGA MD DR STE 300
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1431
Practice Address - Country:US
Practice Address - Phone:985-230-7675
Practice Address - Fax:985-230-7676
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.205471207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine