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CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322078207
ATLANTA, GA 303746638
Individual Provider
ABIEDU ABAABA, M.D.
NPI 1811192388
Active
Internal Medicine, Infectious Disease
Quick Facts
NPI Number
1811192388
Type
Individual (NPI-1)
Credential
M.D.
Status
Active
Enumeration Date
2007-06-15
Last Updated (NPPES)
2024-11-19
Primary Specialty / Taxonomy
| Taxonomy | Internal Medicine, Infectious Disease |
| Taxonomy Code | 207RI0200X |
| License | ME99772 FL |
Other Taxonomies
- Internal Medicine — License ME99772
Practice Address
820 PRUDENTIAL DR STE 515CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322078207
Phone: 904-396-4886
Fax: 904-398-0496
Mailing Address
PO BOX 746638ATLANTA, GA 303746638
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.