Provider Demographics
NPI:1326802471
Name:ABBASI, MUHAMMAD FAHAD (PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:FAHAD
Last Name:ABBASI
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42485 MAJESTIC CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1136
Mailing Address - Country:US
Mailing Address - Phone:520-784-1731
Mailing Address - Fax:
Practice Address - Street 1:42485 MAJESTIC CT
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1136
Practice Address - Country:US
Practice Address - Phone:520-784-1731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704287953163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health