Provider Demographics
NPI:1457410896
Name:ABDUL-MAJEED, ABBAS SHARIFF (RPT)
Entity Type:Individual
Prefix:MR
First Name:ABBAS
Middle Name:SHARIFF
Last Name:ABDUL-MAJEED
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24019 WATERCREST CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2716
Mailing Address - Country:US
Mailing Address - Phone:248-790-5441
Mailing Address - Fax:248-522-7265
Practice Address - Street 1:24019 WATERCREST CT
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-2716
Practice Address - Country:US
Practice Address - Phone:248-790-5441
Practice Address - Fax:248-522-7265
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005725225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI650H217590OtherBCBS GROUP PIN
MI383454355OtherALTERNATIVE REHAB TAX ID
MI650H223000OtherBCBS INDIVIDUAL PIN
MI383454355OtherALTERNATIVE REHAB TAX ID
MI650H223000OtherBCBS INDIVIDUAL PIN