Individual
MOWAFAK ASBAHI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18320 FARMINGTON RD, LIVONIA, MI 48152-3230
(248) 476-6100
Mailing address
43261 WATERWHEEL COURT, NORTHVILLE, MI 48167
(248) 349-7122
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA033455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0826296
BLUE CROSS BLUE SHIELD
MI
01
—
0826296
BLUE CARE NETWORK
—
Enumeration date
05/16/2006
Last updated
07/08/2007
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