Provider Demographics
NPI:1003875840
Name:ABUSHMAIES, ABEDEL KARIM (MD)
Entity Type:Individual
Prefix:
First Name:ABEDEL
Middle Name:KARIM
Last Name:ABUSHMAIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 CAPITAL AVE SW
Mailing Address - Street 2:STE 201
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015
Mailing Address - Country:US
Mailing Address - Phone:269-979-6310
Mailing Address - Fax:269-979-6311
Practice Address - Street 1:2845 CAPITAL AVE SW
Practice Address - Street 2:STE 201
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015
Practice Address - Country:US
Practice Address - Phone:269-979-6310
Practice Address - Fax:269-979-6311
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAA0629942086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4259553Medicaid
MI0N17690002Medicare ID - Type Unspecified
F86934Medicare UPIN