Provider Demographics
NPI:1609107432
Name:MICHIGAN SLEEP INSTITUTE PLLC
Entity Type:Organization
Organization Name:MICHIGAN SLEEP INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELKARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-924-1444
Mailing Address - Street 1:100 E CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49250-1197
Mailing Address - Country:US
Mailing Address - Phone:517-849-9090
Mailing Address - Fax:517-797-4615
Practice Address - Street 1:605 W CHICAGO RD STE 208
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-8400
Practice Address - Country:US
Practice Address - Phone:517-924-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI079293207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty