Provider Demographics
NPI:1134375157
Name:ABDAYEM, JOSEPH Y (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:Y
Last Name:ABDAYEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2723 S 7TH STREET
Mailing Address - Street 2:STE A
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3558
Mailing Address - Country:US
Mailing Address - Phone:812-238-1730
Mailing Address - Fax:812-242-1565
Practice Address - Street 1:2723 S 7TH STREET
Practice Address - Street 2:STE L
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3558
Practice Address - Country:US
Practice Address - Phone:812-232-5936
Practice Address - Fax:812-235-1290
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069076A208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201009470Medicaid
IN000000701861OtherANTHEM
INM400039092Medicare PIN