Individual
BADAWI ABDELLATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 KIRTS BLVD STE 200, TROY, MI 48084
(248) 824-6060
(248) 686-0772
Mailing address
500 KIRTS BLVD STE 200, TROY, MI 48084-4140
(248) 824-6060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301071311
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A134081468871
DRIVERS LICENSE
MI
Enumeration date
06/29/2007
Last updated
11/02/2018
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