Dr. Abiedu C Abaaba, MD
Internal Medicine, Infectious Disease in Jacksonville, Florida
1811192388- Practice location
- 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 32207-8207
- Phone
- 904-396-4886
- Fax
- 904-398-0496
- Last updated
- November 19, 2024
Dr. Abiedu C Abaaba, MD is a Internal Medicine, Infectious Disease based in Jacksonville, FL. Dr. Abiedu C Abaaba, MD holds the professional credentials of MD. The NPI number for Dr. Abiedu C Abaaba, MD is 1811192388 and holds license No. ME99772 (FL). The current practice location address is 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 32207-8207 and the office can be reached by phone at 904-396-4886 and by fax at 904-398-0496. The NPI was assigned on June 15, 2007 and the record was last updated in NPPES on November 19, 2024.
●Provider Profile Details
- NPI Number
- 1811192388
- Provider Name
- Abiedu Charles Abaaba
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Internal Medicine, Infectious Disease · 207RI0200X
- Sole Proprietor
- No
- Enumeration Date
- June 15, 2007
- Last Update Date
- November 19, 2024
- Certification Date
- November 19, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 820 Prudential Dr Ste 515
Credentialing Department
Jacksonville, FL 32207-8207 - City
- Jacksonville
- State
- Florida
- ZIP
- 32207-8207
- Country
- US
- Phone Number
- 904-396-4886
- Fax Number
- 904-398-0496
✉Business Mailing Address
- Address
- Po Box 746638
Atlanta, GA 30374-6638 - City
- Atlanta
- State
- GA
- ZIP
- 30374-6638
- Phone Number
- 904-202-2092
- Fax Number
- 904-376-4075
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine | 207R00000X | No | ME99772 | FL |
| Internal Medicine, Infectious Disease | 207RI0200X | Yes | ME99772 | FL |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Jacksonville →?Frequently Asked Questions
What is the NPI number of Dr. Abiedu C Abaaba, MD?
The NPI number of Dr. Abiedu C Abaaba, MD is 1811192388. It was assigned on June 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Abiedu C Abaaba, MD?
Dr. Abiedu C Abaaba, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X) and holds license No. ME99772 (FL).
Where does Dr. Abiedu C Abaaba, MD practice?
The practice location is 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 32207-8207. The office can be reached at 904-396-4886 (phone) or 904-398-0496 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811192388 directly on the NPPES registry website at npiregistry.cms.hhs.gov.