Provider Demographics
NPI:1205319423
Name:FADI ABBASS MD
Entity type:Organization
Organization Name:FADI ABBASS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-297-9080
Mailing Address - Street 1:6693 N CHESTNUT ST STE 215
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3900
Mailing Address - Country:US
Mailing Address - Phone:330-297-9080
Mailing Address - Fax:330-297-9077
Practice Address - Street 1:6693 N CHESTNUT ST STE 215
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3900
Practice Address - Country:US
Practice Address - Phone:330-297-9080
Practice Address - Fax:330-297-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty