Provider Demographics
NPI:1417119892
Name:ABDELRAHMAN, NADIR GALAL (MD)
Entity Type:Individual
Prefix:DR
First Name:NADIR
Middle Name:GALAL
Last Name:ABDELRAHMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:804 SERVICE RD
Mailing Address - Street 2:A201
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-884-2976
Mailing Address - Fax:517-432-3928
Practice Address - Street 1:4000 N MICHIGAN RD
Practice Address - Street 2:DIMONDALE NCC
Practice Address - City:DIMONDALE
Practice Address - State:MI
Practice Address - Zip Code:48821-9744
Practice Address - Country:US
Practice Address - Phone:517-646-6258
Practice Address - Fax:206-337-8601
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2016-06-22
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Provider Licenses
StateLicense IDTaxonomies
MI4301092875207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1417119892Medicaid
MIC36088120Medicare PIN