Provider Demographics
NPI:1497079230
Name:SAMI ABBASI DO PLLC
Entity Type:Organization
Organization Name:SAMI ABBASI DO PLLC
Other - Org Name:DOWNRIVER DERMATOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABBASI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-675-0835
Mailing Address - Street 1:23050 WEST RD
Mailing Address - Street 2:STE 240
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1472
Mailing Address - Country:US
Mailing Address - Phone:734-675-0835
Mailing Address - Fax:734-675-0873
Practice Address - Street 1:23050 WEST RD
Practice Address - Street 2:STE 240
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-1472
Practice Address - Country:US
Practice Address - Phone:734-675-0835
Practice Address - Fax:734-675-0873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty