Abou-Samra, Abdul-Badi

Abou-Samra, Abdul-Badi is an individual health care provider with primary practice located at 4160 John R St Suite 917, Detroit MI 48201-2020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Abou-Samra, Abdul-Badi can be contacted via phone (313) 745-4525.

Contact Information

Primary practice address
4160 John R St Suite 917 Detroit MI 48201-2020
Phone: (313) 745-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301089157 Michigan

Profile Details

NPI number 1932195203
LBN Legal business name Abou-Samra, Abdul-Badi
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932195203 NPPES
Massachusetts Other 724182 TUFTS
Massachusetts Other 8327117-001 TUFTS
Massachusetts MEDICAID 3071405 TUFTS
Massachusetts Other 58956 TUFTS
Massachusetts Other 5904607 TUFTS
Massachusetts Other E80629042MGH TUFTS
Massachusetts Other UNITED-PBO TUFTS
Massachusetts Other E80629MGH TUFTS

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