Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301075802 | MI |
NPI | 1053332296 |
---|---|
Provider Name | Husam Abed |
First Address | Sterling Heights, MI 48312-5055 |
Second Address | Southgate, MI 48195-2487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 25/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09857534 | (05) | MS |