MARY JENNIFER ABUZZAHAB MD NPI 1174515274

NPI Information

NPI: 1174515274
Provider Name: MARY JENNIFER ABUZZAHAB, MD
Classification: Pediatrics - 2080P0205X
Entity Type: Individual

Specialization: Pediatric Endocrinology

Address:
345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102
Phone: (651) 220-6624
Get Directions

Mary Jennifer Abuzzahab, MD is a pediatric endocrinology pediatrics in Saint Paul, MN. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Mary Jennifer Abuzzahab, MD NPI is 1174515274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102-346
Phone: (651) 220-6624
Fax: (651) 220-6064

The enumeration date for this NPI number is 8/16/2005 and was last updated on 5/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0205X	Pediatrics	Pediatric Endocrinology	42796	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	887951600	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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