Provider Demographics
NPI:1679928147
Name:ABADI, ZAHRA TALEB
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:TALEB
Last Name:ABADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11881 WESTSHORE DR
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-9091
Mailing Address - Country:US
Mailing Address - Phone:734-344-1029
Mailing Address - Fax:734-971-1026
Practice Address - Street 1:2770 CARPENTER RD
Practice Address - Street 2:SUITE 220
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-4104
Practice Address - Country:US
Practice Address - Phone:734-971-6300
Practice Address - Fax:734-971-1026
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704206436163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse