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NPI Code Detail

MEDICARE: MADAR ABED MD

MEDICARE:   MADAR  ABED  MD
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
1207RC0000XCardiovascular Disease PhysicianMD00041901WA
2207RC0000XCardiovascular Disease PhysicianMD24304OR
3207RC0000XCardiovascular Disease Physician4301067788MI

Other Identifiers

General Provider Information

NPI Number : 1235165275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADAR ABED MD
Provider Business Mailing Address
First Line : 6122 W PIERSON RD
Second Line : UNIT 1
City : FLUSHING
State : MI
Zip : 48433-3104
Country : US
Telephone Number : 810-600-3399
Fax Number : 810-600-3398
Provider Business Practice Location Address
First Line : 6122 W PIERSON RD
Second Line : UNIT 1
City : FLUSHING
State : MI
Zip : 48433-3104
Country : US
Telephone Number : 810-600-3399
Fax Number : 810-600-3398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 06/03/2016

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