Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | AA062994 | MI |
NPI | 1003875840 |
---|---|
Provider Name | Abedel Karim Abushmaies |
First Address | Battle Creek, MI 49015 |
Second Address | Battle Creek, MI 49015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 13/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4259553 | (05) | MI |
F86934 | (02) |