Individual
DR. BASIL AZMI ABDULMUTI QANDIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9222 JOSEPH CAMPAU ST, SUITE A, HAMTRAMCK, MI 48212-4059
(313) 871-8900
(313) 871-8901
Mailing address
9222 JOSEPH CAMPAU ST, SUITE A, HAMTRAMCK, MI 48212-4059
(313) 871-8900
(313) 871-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301087756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0809505962
BCBS
MI
05
—
1720288749
—
MI
01
—
P00832043
RAILROAD MEDICARE
MI
Enumeration date
07/18/2007
Last updated
08/18/2010
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