Individual provider · NPI-1
Badawi Abdellatif, MD
Internal Medicine · Troy, MI
NPI number1376740548
StatusActive
Last updated in NPPESNov 2, 2018
Details
- NPI
- 1376740548
- Entity type
- Individual (NPI-1)
- Name
- Badawi Abdellatif
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2007
- Last updated
- Nov 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301071311 | MI | Yes |
Practice location
500 Kirts Blvd Ste 200Troy, MI 48084
Phone 248-824-6060 · Fax 248-686-0772
Mailing address
500 Kirts Blvd Ste 200Troy, MI 48084-4140
Phone 248-824-6060
Other practice locations
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