Provider Demographics
NPI:1649085242
Name:OLIVER, ABIR KHALIL (PA)
Entity type:Individual
Prefix:
First Name:ABIR
Middle Name:KHALIL
Last Name:OLIVER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SCRAMBLE ST
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-7495
Mailing Address - Country:US
Mailing Address - Phone:443-388-1762
Mailing Address - Fax:
Practice Address - Street 1:20 SCRAMBLE ST
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-7495
Practice Address - Country:US
Practice Address - Phone:443-388-1762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant