Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MA045116 | MI |
NPI | 1508976226 |
---|---|
Provider Name | Mr. Mostafa I Abuzeid |
First Address | Flint, MI 48503-5903 |
Second Address | Flint, MI 48503-5903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1002563 | MCLAREN HEALTH ADVANTAGE (01) | MI |
1002563 | MCLAREN HEALTH PLAN (01) | MI |
1602502321 | HEALTHPLUS (01) | MI |
506571 | MERCY CARE (01) | MI |
50671 | CARE CHOICES (01) | MI |
C2559 | MCARE (01) | MI |
C78913 | (02) | MI |
C78913 | HAP (01) | MI |