Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4301501514 | MI |
NPI | 1437503455 |
---|---|
Provider Name | Ahmed Abdullah |
First Address | Flint, MI 48532-2271 |
Second Address | Flint, MI 48532-2271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2016 |
Last Update Date | 24/11/2021 |