| Shahida Abbas Md Llc | |
|
1451 Route 88 Suite 12 Brick NJ 08724-2371 | |
| (732) 836-0500 | |
| (732) 836-0502 |
| Full Name | Shahida Abbas Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1451 Route 88, Brick, New Jersey |
| Authorized Official Name and Position | Shahida Abbas (OWNER) |
| Authorized Official Contact | 7328360500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahida Abbas Md Llc 1451 Route 88 Suite 12 Brick NJ 08724-2320 Ph: (732) 836-0500 | Shahida Abbas Md Llc 1451 Route 88 Suite 12 Brick NJ 08724-2371 Ph: (732) 836-0500 |
| NPI Number | 1407065337 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 06/07/2011 |
| Medicare PECOS PAC ID | 3072530674 |
|---|---|
| Medicare Enrollment ID | O20060120000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407065337 | NPI | - | NPPES |
| 7753306 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MAO64127 (New Jersey) | Primary |
| Provider Name | Shahida M Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023104098 PECOS PAC ID: 3476576455 Enrollment ID: I20060104000983 |
| Provider Name | Farhan A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437572468 PECOS PAC ID: 5294955290 Enrollment ID: I20140925000389 |
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