Individual
DR. ABDALLA ABDALLA-ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE STE 145, LANSING, MI 48912-1897
(517) 364-5440
(517) 364-5409
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 364-5440
(517) 364-5409
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301065971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200183
PHYSICIANS HEALTH PLAN
MI
01
—
203742
MCLAREN HEALTH PLAN
MI
01
—
330485
BLUE CROSS BLUE SHIELD
MI
01
—
350C361520
BLUE CROSS BLUE SHIELD
MI
01
—
350D410030
COMMUNITY BLUE PPO
MI
05
—
4155272
—
MI
05
—
4416510
—
MI
05
—
4871668
—
MI
01
—
5517663
AETNA
MI
01
—
G87637
HEALTH NET FED SERVICES
MI
Enumeration date
11/16/2005
Last updated
09/25/2023
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