Provider Demographics
NPI:1457736886
Name:ABBAS, HADI (DDS)
Entity Type:Individual
Prefix:DR
First Name:HADI
Middle Name:
Last Name:ABBAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 STUYVESANT OVAL
Mailing Address - Street 2:M-E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2242
Mailing Address - Country:US
Mailing Address - Phone:301-275-0298
Mailing Address - Fax:
Practice Address - Street 1:18 STUYVESANT OVAL
Practice Address - Street 2:M-E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2242
Practice Address - Country:US
Practice Address - Phone:301-275-0298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program