Organization
MERCY INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABEEL SHABO MD (OWNER)
(586) 214-4556
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(586) 214-4556
(248) 849-7448
Mailing address
42451 BEECHWOOD DR, STERLING HEIGHTS, MI 48314-2943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
4301089948
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619177011
CMS
MI
Enumeration date
03/11/2016
Last updated
03/17/2018
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