| Doctor Name: | TAHIRA ABBASI |
| NPI Number: | 1619062346 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A90215 |
| Business Practice Address: | 4130 La Jolla Village Dr Ste 201 La Jolla, CA - 920371480 |
| Business Phone Number: | 8584334898 |
| Business Fax Number: | |
| Mailing Address: | Po Box 231337, ENCINITAS |
| State: | CA |
| Postal Code: | 920231337 |
| Phone Number: | 8584334898 |
| Fax Number: | 8584334899 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A90215 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |