Organization Active NPI

Ghulam Abbas MD LLC

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1629475249
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D62471 Issued in MD
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ghulam Abbas, MDNPI 1477658045
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.