Organization
CAPITOL INFECTIOUS DISEASE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUJAHED ABBAS MD (OWNER / AUTHORIZED OFFICIAL)
(517) 339-1676
Entity
Organization
Contact information
Practice address
6401 PINE HOLLOW DR, EAST LANSING, MI 48823-9737
(517) 339-1676
Mailing address
6200 PINE HOLLOW DR STE 400, EAST LANSING, MI 48823-9224
(517) 339-1676
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301054596
MI
Other
Enumeration date
10/12/2016
Last updated
12/12/2016
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