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Rand Ali Abdullatef, MD

Student in an Organized Health Care Education/Training Program in Detroit, MI. Individual provider (NPI-1).

NPI number1164217816
StatusActive
Last updated in NPPESApr 14, 2025

Details

NPI
1164217816
Entity type
Individual (NPI-1)
Name
Rand Ali Abdullatef
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 14, 2025
Certification date
Apr 9, 2025
Last updated
Apr 14, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–MIYes

Practice location

4201 Saint Antoine St Ste 6a
Detroit, MI 48201-2153

Phone 313-745-4627 · Fax 313-966-7305

Mailing address

4201 Saint Antoine St Ste 9c
Detroit, MI 48201-2153

Phone 313-745-5146 · Fax 313-966-7305

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Detroit, MI

All 2,262 Student in an Organized Health Care Education/Training Program providers in Detroit · All 25,238 providers in Detroit

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