Provider Demographics
NPI:1083778690
Name:ABBASI, SAMI ADNAN (DO)
Entity Type:Individual
Prefix:MR
First Name:SAMI
Middle Name:ADNAN
Last Name:ABBASI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21401 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1665
Mailing Address - Country:US
Mailing Address - Phone:734-675-0835
Mailing Address - Fax:734-675-0873
Practice Address - Street 1:21401 ALLEN RD
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-1665
Practice Address - Country:US
Practice Address - Phone:734-675-0835
Practice Address - Fax:734-675-0873
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101014894207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology