Individual
DR. ALEX ELSABBAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301080518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820610
BCN
MI
01
—
12965
CAPE MEDICAL
MI
01
—
17474
MCARE
MI
01
—
3508206102
BCBS
MI
05
—
489769110
—
MI
01
—
6U4930
CIGNA
MI
Enumeration date
11/30/2006
Last updated
01/04/2011
Update your record
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