Active NPI
Ghulam Abbas MD LLC
- Internal Medicine Physician
- Frederick, MD
National Provider Identifier
1629475249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D62471
- Legal business name
- GHULAM ABBAS MD LLC
- Practice address
- 801 Toll House Ave
Frederick, MD 21701-4564 - Phone
- (301) 787-8030
- NPI assigned
- Nov 25, 2014
- Last updated
- Mar 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ghulam Abbas, MD
- Title
- Ceo
- Phone
- (301) 787-8030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D62471 | MD | Primary |
Addresses
Primary practice location
801 Toll House Ave
Frederick, MD 21701-4564
Mailing address
493 Crusader Dr
Sykesville, MD 21784-7763
Phone (410) 549-2396
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1477658045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1629475249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 CRUSADER DR",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847763",
"telephone_number": "410-549-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 TOLL HOUSE AVE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014564",
"telephone_number": "301-787-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHULAM ABBAS MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-25",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "ABBAS",
"authorized_official_first_name": "GHULAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-787-8030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D62471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.