Individual provider · NPI-1

Dr. Ammaar Mohammad Ali Abbasi, M.D.

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

NPI number1558005157

StatusActive

Last updated in NPPESApr 7, 2026

Details

NPI: 1558005157
Entity type: Individual (NPI-1)
Name: Dr. Ammaar Mohammad Ali Abbasi
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 21, 2022
Certification date: Apr 7, 2026
Last updated: Apr 7, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	4351051711	MI	Yes
390200000X	Student in an Organized Health Care Education/Training Program	MT225656	PA
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2689

Phone 313-916-2600 · Fax 215-662-7983

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2689

Phone 313-916-2600 · Fax 215-662-7983

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