Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 5951001419 | MI |
NPI | 1376122176 |
---|---|
Provider Name | Dr. Abbas Baghdadi |
First Address | Clinton Township, MI 48038-3504 |
Second Address | Clinton Township, MI 48038-3504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2021 |
Last Update Date | 14/06/2021 |