Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 035982 | MI |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | AE035982 | MI |
N | 2081P2900X | Pain Medicine | AE035982 | MI |
NPI | 1396754271 |
---|---|
Provider Name | Dr. Adel Ali El-Magrabi |
First Address | Detroit, MI 48201-2014 |
Second Address | Detroit, MI 48201-2020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2103339 | (05) | MI |
A76884 | (02) | MI |