Individual
HUSSEIN S ELBADAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC-SUITE 5A, DETROIT, MI 48201-2153
(313) 745-4525
(313) 993-0085
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5972
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098827
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301098827
MI
Other
Enumeration date
03/17/2008
Last updated
12/13/2013
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