Individual provider · NPI-1
Hafsa Abdulla, MD
Internal Medicine, Critical Care Medicine · Grand Rapids, MI
NPI number1093240855
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1093240855
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Hafsa Abdulla
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2017
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 4301509204 | MI | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 4301509204 | MI |
Practice location
4100 Lake Dr Se Ste 200Grand Rapids, MI 49546-8292
Phone 616-267-8244
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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