Provider Demographics
NPI:1912314824
Name:ABBOUD, ABDALLAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDALLAH
Middle Name:
Last Name:ABBOUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:STE 500E
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7500
Mailing Address - Country:US
Mailing Address - Phone:406-238-6800
Mailing Address - Fax:406-238-6814
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:STE 500E
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7500
Practice Address - Country:US
Practice Address - Phone:406-238-6800
Practice Address - Fax:406-238-6814
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-08419207R00000X
MT83324207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine