Individual provider · NPI-1

Dr. Abraham Abdulhak, MD

Dermatology, MOHS-Micrographic Surgery · Dearborn, MI

NPI number1548752793
StatusActive
Last updated in NPPESJun 6, 2024

Details

NPI
1548752793
Entity type
Individual (NPI-1)
Name
Dr. Abraham Abdulhak
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2018
Certification date
Jun 6, 2024
Last updated
Jun 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic Surgery4301509082MIYes
207N00000X Dermatology4301509082MI

Practice location

24924 Michigan Ave
Dearborn, MI 48124-1740

Phone 313-631-3550

Mailing address

24924 Michigan Ave
Dearborn, MI 48124-1740

Phone 313-663-0099

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