Individual provider · NPI-1

Khalid Mohammed Abulaban, M.D.

Pediatrics, Pediatric Rheumatology · Grand Rapids, MI

NPI number1033379458
StatusActive
Last updated in NPPESFeb 19, 2021

Details

NPI
1033379458
Entity type
Individual (NPI-1)
Name
Khalid Mohammed Abulaban
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2008
Certification date
Feb 19, 2021
Last updated
Feb 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0216X Pediatrics, Pediatric Rheumatology4301106734MIYes
208000000X Pediatrics4301106734MI

Practice location

35 Michigan St Ne
Suite 4150
Grand Rapids, MI 49503-2514

Phone 616-267-2700 · Fax 616-267-2701

Mailing address

100 Michigan St Ne
Mc 845
Grand Rapids, MI 49503-2560

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