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Organization

ADVANCED PULMONARY & SLEEP ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IHAB M DEEBAJAH MD (OWNER)
(313) 333-6733
Entity
Organization

Contact information

Practice address
1110 N TELEGRAPH RD, DEARBORN, MI 48124-1634
(313) 294-5400
(313) 294-5401
Mailing address
1110 N TELEGRAPH RD, DEARBORN, MI 48128-1203
(313) 294-5400
(313) 294-5401

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301067420
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026029
MIDWEST HEALTH PLAN
MI
01
1109500421
BC
MI
01
1109501061
BCN
MI
01
290H242810
BCBS GROUP
MI
01
82027712
PROCARE
MI
01
DN8728
RAILROAD MEDICARE GROUP
MI
Enumeration date
07/01/2008
Last updated
11/26/2019
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