Organization
AHMAD AL DABAGH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD AL DABAGH M.D. (PRESIDENT OWNER)
(810) 733-8105
Entity
Organization
Contact information
Practice address
5084 VILLA LINDE PKWY, SUITE 5, FLINT, MI 48532-3422
(810) 733-8105
(810) 733-8135
Mailing address
5084 VILLA LINDE PKWY STE 5, FLINT, MI 48532-3422
(810) 733-8105
(810) 733-8135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063880
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102504361
BLUE CROSS BLUE SHIELD
MI
05
—
4301746
—
MI
Enumeration date
07/26/2006
Last updated
10/30/2013
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