MEDICARE: ABDULHADI SINAN MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301053885	MI

General Provider Information

NPI Number	:	1215102587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABDULHADI SINAN MD PC

Provider Business Mailing Address
First Line	:	13530 MICHIGAN AVE STE 241
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3575
Country	:	US
Telephone Number	:	313-438-0702
Fax Number	:	313-438-0696

Provider Business Practice Location Address
First Line	:	13530 MICHIGAN AVE STE 241
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3575
Country	:	US
Telephone Number	:	313-438-0702
Fax Number	:	313-438-0696

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABDULHADI SINAN
Credential	:	MD
Telephone Number	:	313-438-0702

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	06/14/2023

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