Individual
DR. ABUL K SHAMSUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19727 ALLEN RD, SUITE 12, BROWNSTOWN TWP, MI 48183-1188
(734) 479-8000
(734) 479-4812
Mailing address
19727 ALLEN RD, SUITE 12, BROWNSTOWN TWP, MI 48183-1188
(734) 479-8000
(734) 479-4812
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301034521
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102103689
—
MI
01
—
1108242551
BCBSM
MI
01
—
380000714
MEDICARE RAILROAD
—
01
—
NC005768
M-CARE
—
Enumeration date
10/18/2006
Last updated
05/03/2026
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