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Organization

SAMIR DABBOUS, M.D., P.C.

Active
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Organization

SAMIR DABBOUS, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEILA DABBOUS (PRACTICE ADMINISTRATOR)
(313) 563-3640
Entity
Organization

Contact information

Practice address
22060 BEECH ST, DEARBORN, MI 48124-2847
(313) 563-3640
(313) 563-0459
Mailing address
22060 BEECH ST, DEARBORN, MI 48124-2847
(313) 563-3640
(313) 563-0459

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RR PTAN C20625
MEDICARE RR
MI
Enumeration date
06/25/2006
Last updated
10/15/2008
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