Provider Demographics
NPI:1912907460
Name:ABDI, ZAHRA JABEEN (MD)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:JABEEN
Last Name:ABDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 AUER CT STE B
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5846
Mailing Address - Country:US
Mailing Address - Phone:732-572-2233
Mailing Address - Fax:732-572-2365
Practice Address - Street 1:8 AUER CT STE B
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5846
Practice Address - Country:US
Practice Address - Phone:732-572-2233
Practice Address - Fax:732-572-2365
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07808500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0061930Medicaid
I25837Medicare UPIN
NJ088535Medicare ID - Type Unspecified