Provider Demographics
NPI:1740404375
Name:ABBAS, MUNEEL (MBBS)
Entity type:Individual
Prefix:DR
First Name:MUNEEL
Middle Name:
Last Name:ABBAS
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 FIELDS WAY UNIT E4
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-8936
Mailing Address - Country:US
Mailing Address - Phone:304-235-7005
Mailing Address - Fax:304-235-0677
Practice Address - Street 1:183 E 2ND AVE STE 1
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3601
Practice Address - Country:US
Practice Address - Phone:304-235-2930
Practice Address - Fax:304-235-2933
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23889207Q00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine