Provider Demographics
NPI:1619177995
Name:ADIL ARABBO
Entity Type:Organization
Organization Name:ADIL ARABBO
Other - Org Name:ADVANCED FAMILY CARE OF COMMERCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-366-3700
Mailing Address - Street 1:4123 MARTIN RD
Mailing Address - Street 2:STE 102
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-4151
Mailing Address - Country:US
Mailing Address - Phone:248-366-3700
Mailing Address - Fax:248-360-1760
Practice Address - Street 1:4123 MARTIN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48390-4151
Practice Address - Country:US
Practice Address - Phone:248-366-3700
Practice Address - Fax:248-360-1760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301065973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1316936008OtherINDIVIDUAL NPI
MI0806345542OtherBCBSM
MI1619177995OtherGROUP NPI
MI4693360Medicaid
MI0806345542OtherBCBSM