| Abul Shamsuddin, MD, PC | |
|
25410 Goddard Rd Taylor MI 48180-6200 | |
| (313) 291-9900 | |
| (313) 291-9902 |
| Full Name | Abul Shamsuddin, MD, PC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 25410 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Abul K Shamsuddin (OWNER) |
| Authorized Official Contact | 3132919900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abul Shamsuddin, MD, PC 25410 Goddard Rd Taylor MI 48180-6200 Ph: (313) 291-9900 | Abul Shamsuddin, MD, PC 25410 Goddard Rd Taylor MI 48180-6200 Ph: (313) 291-9900 |
| NPI Number | 1932280732 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932280732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
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