Individual provider · NPI-1

Hossam Mohamed Abubakar, M.D

Internal Medicine, Cardiovascular Disease · Lansing, MI

NPI number1386095750
StatusActive
Last updated in NPPESJul 5, 2023

Details

NPI
1386095750
Entity type
Individual (NPI-1)
Name
Hossam Mohamed Abubakar
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2016
Certification date
Jul 5, 2023
Last updated
Jul 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease4301509842MIYes
207RC0000X Internal Medicine, Cardiovascular DiseaseT6164TX
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806

Phone 517-364-9650

Mailing address

1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806

Phone 517-364-9650

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