Samantha Abdallah
Emergency Medicine in Detroit, MI. Individual provider (NPI-1).
NPI number1609457985
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1609457985
- Entity type
- Individual (NPI-1)
- Name
- Samantha Abdallah
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2021
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301511628 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2689
Phone 313-916-1553
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2689
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