Provider Demographics
NPI:1821128133
Name:ABEDI, SAYED RAOOF (MD)
Entity Type:Individual
Prefix:
First Name:SAYED
Middle Name:RAOOF
Last Name:ABEDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22819 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2007
Mailing Address - Country:US
Mailing Address - Phone:313-769-5820
Mailing Address - Fax:313-769-5815
Practice Address - Street 1:22819 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2007
Practice Address - Country:US
Practice Address - Phone:313-769-5820
Practice Address - Fax:313-769-5815
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036112547207ZP0102X
MI4301095809207ZP0102X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty