Individual
OSAMA M ELSABAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.127253
OH
208000000X
Pediatrics Physician
Primary
4301086876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457420416
—
MI
01
—
381870664
TAX ID
MI
01
—
700G360210
BLUE CARE NETWORK
MI
01
—
OE086876
LICENSE
MI
Enumeration date
11/06/2006
Last updated
08/08/2026
Update your record
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