Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 5315075676 | MI |
NPI | 1114221322 |
---|---|
Provider Name | Dr. Hussain Arbab |
First Address | Warren, MI 48088-3196 |
Second Address | Warren, MI 48088-3196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2011 |
Last Update Date | 11/09/2019 |