Provider Demographics
NPI:1982016887
Name:FIRAS ABUBAKER MD INC
Entity Type:Organization
Organization Name:FIRAS ABUBAKER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUBAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-330-1940
Mailing Address - Street 1:160 W FOOTHILL PKWY # 105-167
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-8545
Mailing Address - Country:US
Mailing Address - Phone:973-330-1940
Mailing Address - Fax:951-328-1854
Practice Address - Street 1:160 W FOOTHILL PKWY # 105-167
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-8545
Practice Address - Country:US
Practice Address - Phone:973-330-1940
Practice Address - Fax:951-328-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RC0200X
CAA101953207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty