Individual provider · NPI-1

Alfadl Abdulfattah, MD

Internal Medicine · Detroit, MI

NPI number1386050946
StatusActive
Last updated in NPPESJul 3, 2014

Details

NPI
1386050946
Entity type
Individual (NPI-1)
Name
Alfadl Abdulfattah
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 3, 2014
Last updated
Jul 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301104752MIYes

Practice location

22101 Moross Rd Ste 50
St. John Hospital And Medical Center
Detroit, MI 48236-2148

Phone 313-343-7784

Mailing address

22101 Moross Rd Ste 50
St. John Hospital And Medical Center
Detroit, MI 48236-2148

Phone 313-343-7784

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