Provider Demographics
NPI:1801441878
Name:ABBASI, MADEEHA RAJA
Entity type:Individual
Prefix:
First Name:MADEEHA
Middle Name:RAJA
Last Name:ABBASI
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 1:42485 MAJESTIC CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1136
Mailing Address - Country:US
Mailing Address - Phone:248-979-6891
Mailing Address - Fax:
Practice Address - Street 1:42485 MAJESTIC CT
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1136
Practice Address - Country:US
Practice Address - Phone:248-979-6891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker