Individual
THABET R ABBARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 HIGHLAND RD, SUITE 115, WATERFORD, MI 48328-2167
(248) 681-3555
(248) 681-9809
Mailing address
PO BOX 7257, BLOOMFIELD HILLS, MI 48302-7257
(248) 681-3555
(248) 681-9809
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TA052508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006044
MIDWEST HEALTH PLAN
MI
01
—
0406324371
BLUE CARE NETWORK
MI
05
—
10-2652878
—
MI
05
—
10-2699598
—
MI
05
—
10-2738195
—
MI
01
—
103539
GREAT LAKE HEALTH PLAN
MI
01
—
48282
OMNICARE HMO
MI
01
—
605
HEALTH PLAN OF MI
MI
01
—
D99700
HEALTH ALLIANCE PLAN
MI
Enumeration date
08/21/2006
Last updated
09/15/2008
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