Provider Demographics
NPI:1033313028
Name:ZAGNOON, ABBAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBAS
Middle Name:
Last Name:ZAGNOON
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 1:2998 CHAMBORD DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3517
Mailing Address - Country:US
Mailing Address - Phone:248-538-7404
Mailing Address - Fax:
Practice Address - Street 1:1 AMEER ABDULLH STREET
Practice Address - Street 2:KING FAISAL SPECIALIST HOSPITAL AND RESEARCH CENTER
Practice Address - City:JEDDAH
Practice Address - State:SAUDI ARABIA
Practice Address - Zip Code:21499
Practice Address - Country:SA
Practice Address - Phone:667-7777
Practice Address - Fax:663-0673
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060783207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology