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MASSOUD ABDALI M.D.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1861707325

Individual Registrant:
 MASSOUD  ABDALI M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
500 W HOSPITAL RD  FRENCH CAMP, CA 95231-9693 US
Tel: 209-468-6000  Fax: 209-468-7042

Contact information for business:
PO BOX 1020  STOCKTON, CA 95201-3120 US
Tel: 209-468-6000  Fax: 209-468-7042

Registration Information:
NPI: 1861707325
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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