NPI 1194163089 · live from the CMS NPI Registry
Evan Michael Abalos, D.O.
Internal Medicine in Toledo, OH. National Provider Identifier 1194163089, active.
NPI record
| NPI | 1194163089 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2142 N Cove Blvd, Toledo, OH 43606 |
| Practice phone | 419-291-1111 |
| Mailing address | 100 Madison Ave, Toledo, OH 43604 |
| Enumerated | June 13, 2013 |
| Last updated | November 3, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 5101020623 (MI) |
| Internal Medicine primary | 207R00000X | 34.012200 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.