Organization
THABET ABBARAH MD ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THABET R ABBARAH (M.D.)
(248) 681-3555
Entity
Organization
Contact information
Practice address
4000 HIGHLAND RD, SUITE 115, WATERFORD, MI 48328-2167
(248) 681-3555
(248) 681-9809
Mailing address
PO BOX 7247, BLOOMFIELD HILLS, MI 48302-7247
(248) 681-3555
(248) 681-9809
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006044
MIDWEST HEALTH PLAN
MI
01
—
0P57370
MEDICARE ADVANTAGE
MI
05
—
10-2652878
—
MI
05
—
10-2699598
—
MI
05
—
10-2738195
—
MI
01
—
103539
GREAT LAKES
MI
01
—
605
HEALTH PLAN OF MI
MI
Enumeration date
03/03/2008
Last updated
06/17/2008
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