Provider Demographics
NPI:1962769380
Name:ABBAS, NASEER
Entity type:Individual
Prefix:DR
First Name:NASEER
Middle Name:
Last Name:ABBAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SYED
Other - Middle Name:
Other - Last Name:ABBAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:431 5TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-5017
Mailing Address - Country:US
Mailing Address - Phone:251-406-0230
Mailing Address - Fax:
Practice Address - Street 1:1717 S J ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4933
Practice Address - Country:US
Practice Address - Phone:253-426-6341
Practice Address - Fax:253-426-6344
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.156576207R00000X
KYC0855207R00000X
MDD94605207R00000X
MEMD26173207R00000X
MIEMC0002085207R00000X
NH22836207R00000X
OK39783207R00000X
TN66199207R00000X
VT042.0016174-COMP207R00000X
WI2060-320207R00000X
WV31475207R00000X
ALMD.44476207R00000X
WAMD60555527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine