Individual
DR. ABUL SHAMSUDDOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43494 WOODWARD AVE, STE 103, BLOOMFIELD HILLS, MI 48302-5053
(248) 652-9450
(248) 920-0641
Mailing address
1135 W UNIVERSITY DR, SUITE 225, ROCHESTER, MI 48307-1871
(248) 652-9450
(248) 652-1095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301037481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102116838
—
MI
01
—
103422
PREFERRED CHOICES
—
01
—
110007235
MEDICARE RAILROAD
—
01
—
1228330002
WELLNESS PLAN
—
01
—
229772
OMNICARE
—
01
—
38237496
BCBS
—
01
—
B44394
HEALTH ALLIANCE PLAN
—
Enumeration date
11/13/2006
Last updated
04/06/2018
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