Provider Demographics
NPI:1205403433
Name:ABDEL-QADER, ANAS HESHAM ABDEL-QADER (MD)
Entity Type:Individual
Prefix:MR
First Name:ANAS
Middle Name:HESHAM ABDEL-QADER
Last Name:ABDEL-QADER
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 1:4201 ST. ANTOINE, UHC-9C
Mailing Address - Street 2:DETROIT MEDICAL CENTER, GME OFFICE
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:248-916-2737
Mailing Address - Fax:
Practice Address - Street 1:6071 WEST OUTER DR.
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:313-966-7434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program