Provider Demographics
NPI:1477537496
Name:ABADI, JAMSHEED (MD)
Entity type:Individual
Prefix:
First Name:JAMSHEED
Middle Name:
Last Name:ABADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMSHEED
Other - Middle Name:
Other - Last Name:SALEH-ABADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:89 WEEKS RD
Mailing Address - Street 2:
Mailing Address - City:EAST WILLISTON
Mailing Address - State:NY
Mailing Address - Zip Code:11596
Mailing Address - Country:US
Mailing Address - Phone:718-385-8949
Mailing Address - Fax:516-742-6740
Practice Address - Street 1:437 MOTHER GASTON BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-385-8949
Practice Address - Fax:516-742-8740
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1360451207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00468786Medicaid
NY02A251Medicare ID - Type Unspecified
NY00468786Medicaid