Organization
SD CARDIOVASCULAR P C
Active
Organization
SD CARDIOVASCULAR P C
Active
Other names
Dearborn Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR ABDALLAH DABBOUS M.D. (PRESIDENT)
(313) 563-3640
Entity
Organization
Contact information
Practice address
22060 BEECH ST, SUITE 200, DEARBORN, MI 48124-2847
(313) 563-3640
(313) 724-1885
Mailing address
22060 BEECH ST, SUITE 200, DEARBORN, MI 48124-2847
(313) 563-3640
(313) 724-1885
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301038418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27352
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
DS2983
MEDICARE RAILROAD
MI
Enumeration date
09/30/2011
Last updated
05/20/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up