Individual
HIND IBDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 S WEBIK AVE, CLAWSON, MI 48017-2602
(628) 888-9950
Mailing address
627 S WEBIK AVE, CLAWSON, MI 48017-2602
(628) 888-9950
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213598115
—
MI
Enumeration date
10/13/2025
Last updated
10/13/2025
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