Individual provider · NPI-1

Asiyah Abdul, MD

Family Medicine · Grand Rapids, MI

NPI number1629818703
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1629818703
Entity type
Individual (NPI-1)
Name
Asiyah Abdul
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2024
Certification date
Oct 9, 2026
Last updated
Oct 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4351052842MIYes

Practice location

300 Lafayette Ave Se
Grand Rapids, MI 49503-4692

Phone 616-685-6922 · Fax 616-685-5101

Mailing address

200 Jefferson Ave Se
Grand Rapids, MI 49503-4502

Phone 616-685-6741 · Fax 616-685-5101

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