DR. CHARLES ABAVAREDO


Address: 1665 S Green St, Tupelo, MS 38804-6556
Phone: 6623772189

DR. CHARLES ABAVAREDO (NPI# 1790081156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790081156
Entity Type Individual
Full Name DR. CHARLES ABAVAREDO
Credential DO
Practice Address 1665 S Green St
Tupelo
MS 38804-6556
Practice Telephone 6623772189
Enumeration Date 2011-02-02
Last Update Date 2011-02-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
T2395 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 1665 S GREEN ST
City TUPELO
State MS
Zip Code 38804-6556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497748941 James Lauvon Taylor IIi Pharmacist 1665 S Green St, Tupelo, MS 38804-6556 2005-08-30
1427673532 Garrett Fratesi Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2020-06-15
1629692769 Jeremy Keon Prince Family Medicine 1665 S Green St, Tupelo, MS 38804-6556 2020-06-04
1598389702 Ethan Collier Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2020-06-03
1104440544 Ridgeland Clay Dabbs Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2020-06-02
1366066698 Raaj Ghosal Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2020-06-02
1720602295 Nathaniel Thomas Sparks Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2020-06-01
1730703158 Joseph Brooks Pratt Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2020-06-01
1053971606 Marcus John Wilson Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2019-06-17
1952961500 Nicholas William Bondio Student in an Organized Health Care Education/Training Program 1665 S Green St, Tupelo, MS 38804-6556 2019-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1134762784 Kimberly J Adams Occupational Therapy Assistant 90 Clark Ave, Tupelo, MS 38804 2019-10-25
1790270924 Megan Guntharp Occupational Therapist 960 Commonwealth Boulevard, Tupelo, MS 38804 2018-06-29
1154867562 Urologic Ambulatory Surgery Center, LLC Clinic/Center 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 2017-01-09
1790235919 Dr Scott Dickinson D.m. D. PC Dentist 3999 N Gloster Street, Tupelo, MS 38804 2016-10-12
1326496621 Angela Estes Occupational Therapist County Road 1279 House#197, Tupelo, MS 38804 2016-05-26
1316300080 Eric Wade Tillotson Family Medicine 1665 South Green Street, Tupelo, MS 38804 2016-03-31
1104238898 Stella M. Johnson Social Worker 2292 Camelot Cir, Tupelo, MS 38804 2014-05-29
1821437351 Lenka Petersen Student in an Organized Health Care Education/Training Program 1665 S Green St., Nmmc, Tupelo, MS 38804 2013-06-18
1083966303 Jessica M Baskett Counselor 398 E Main St, Tupelo, MS 38804 2012-10-10
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578082137 Kayla Anglin Moore Family Medicine 4381 S Eason Blvd Ste 202, Tupelo, MS 38801-6585 2017-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588277206 Sabrita R Hopkins Family Medicine 133 Rivergate Cv, Ridgeland, MS 39157-1039 2020-08-24
1629540646 Homebridge Health, LLC Family Medicine 203 Remington Dr, Brandon, MS 39042-2829 2019-01-02
1922186535 David D Richardson Family Medicine 2659 Lakeland Dr Ste C, Flowood, MS 39232-9516 2006-11-01
1780610444 Saloum Cisse Family Medicine 119 S Oak, Suite 2, Raymond, MS 39154-4205 2006-06-24
1821032392 Rachel Antonia Jones Family Medicine 866 Medical Plz, Jackson, MS 39204-4948 2006-06-15
1831150531 Harsh Doshi Family Medicine 17280 Highway 17 South, Lexington, MS 39095 2006-03-31
1922006279 Virgil Isaac Aultman Family Medicine 2747 Old Canton Rd, Jackson, MS 39216-4308 2005-07-11
1184222374 Kimyuana Jackson Family Medicine 20 Hobo Fork Rd, Natchez, MS 39120-9025 2020-10-11
1659993129 Hawkins Family Medicine, Pllc Family Medicine 491a Craft St, Holly Springs, MS 38635-3251 2020-05-07
1174163620 Samantha Smith Family Medicine 122 E Academy St, Canton, MS 39046-4502 2020-01-13
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Competitor

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City TUPELO
Zip Code 38804

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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