Basic Information
| Provider Information | |||||||||
| NPI: | 1811044605 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABBAS | ||||||||
| FirstName: | RASHIDA | ||||||||
| MiddleName: | ALYIA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Practice Location | |||||||||
| Address1: | 930 FRANKLIN ST SE | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565394080 | ||||||||
| FaxNumber: | 2565394099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2007 | ||||||||
| LastUpdateDate: | 04/06/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 28490 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 510-49225 | 01 | AL | BCBS | OTHER | 9357242 | 01 | AETNA | OTHER | 111634 | 05 | AL | MEDICAID | 510-49224 | 01 | AL | BCBS | OTHER | 515-98435 | 01 | AL | BCBS | OTHER | 104861 | 05 | AL | MEDICAID | 515-98434 | 01 | AL | BCBS | OTHER | 111639 | 05 | AL | MEDICAID | 111649 | 05 | AL | MEDICAID | 111632 | 05 | AL | MEDICAID | 111647 | 05 | AL | MEDICAID | 510-49226 | 01 | AL | BCBS | OTHER | P00679717 | 01 | RAILROAD MEDICARE | OTHER | 510-45511 | 01 | AL | BCBS | OTHER | 111646 | 05 | AL | MEDICAID | 515-98436 | 01 | AL | BCBS | OTHER | P00795531 | 01 | AL | RAILROAD MEDICARE | OTHER |