| Adib O. Abdolkarim M.d. | |
|
33000 Palmer Road Westland MI 48186 | |
| (734) 729-1800 | |
| (734) 729-8030 |
| Full Name | Adib O. Abdolkarim M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 33000 Palmer Road, Westland, Michigan |
| Authorized Official Name and Position | Adib Omar Abdolkarim (OWNER PHYSICIAN) |
| Authorized Official Contact | 7347291800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adib O. Abdolkarim M.d. 33000 Palmer Road Westland MI 48186 Ph: (734) 729-1800 | Adib O. Abdolkarim M.d. 33000 Palmer Road Westland MI 48186 Ph: (734) 729-1800 |
| NPI Number | 1043345374 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 04/20/2010 |
| Medicare PECOS PAC ID | 8426068974 |
|---|---|
| Medicare Enrollment ID | O20060427000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043345374 | NPI | - | NPPES |
| 417413310 | Medicaid | MI | |
| 4174133TYPE10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301059759 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | AA059759 (Michigan) | Primary |
| Provider Name | Adib O Abdolkarim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578699807 PECOS PAC ID: 7416967963 Enrollment ID: I20060428000030 |
| Provider Name | Nisreen Abdolkarim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124682307 PECOS PAC ID: 9032543814 Enrollment ID: I20200103000103 |
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