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Individual Provider

JASIM ABBASI, DO

NPI 1396537452 Active Family Medicine
Quick Facts
NPI Number
1396537452
Type
Individual (NPI-1)
Credential
DO
Status
Active
Enumeration Date
2025-05-22
Last Updated (NPPES)
2025-05-22

Primary Specialty / Taxonomy

TaxonomyFamily Medicine
Taxonomy Code207Q00000X
LicenseOT024289 PA

Practice Address

5515 PEACH ST
ERIE, PA 165092603

Phone: 814-864-4031

Mailing Address

38601 MENTOR AVE APT 112
WILLOUGHBY, OH 440948079

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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