Provider Demographics
NPI:1275038804
Name:AOUN, AOUN ABED
Entity Type:Individual
Prefix:
First Name:AOUN
Middle Name:ABED
Last Name:AOUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16921 W WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-3504
Mailing Address - Country:US
Mailing Address - Phone:313-400-2848
Mailing Address - Fax:
Practice Address - Street 1:257 CHERRY LN
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-1499
Practice Address - Country:US
Practice Address - Phone:313-400-2848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy