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Individual

DR. BELAL FOUAD ABDALLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15400 MICHIGAN AVE, SUITE 1, DEARBORN, MI 48126-3491
(313) 584-3359
(313) 584-1729
Mailing address
15400 MICHIGAN AVE, SUITE 1, DEARBORN, MI 48126-3491
(313) 584-3359
(313) 584-1729

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BA059825
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11OH218060
BCBS
MI
05
3192530
MI
01
C5070
MCARE
MA
01
G16950
HAP
MI
01
P00195891
MEDICARE RAILROAD
MI
Enumeration date
01/19/2006
Last updated
09/25/2013
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