MEDICARE: ADIL ARABBO

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	207Q00000X	Family Medicine Physician	4301065973	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1316936008	OTHER	MI	INDIVIDUAL NPI
2	0806345542	OTHER	MI	BCBSM
3	1619177995	OTHER	MI	GROUP NPI
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619177995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADIL ARABBO

Provider Business Mailing Address
First Line	:	4123 MARTIN RD
Second Line	:	STE 102
City	:	COMMERCE TWP
State	:	MI
Zip	:	48390-4151
Country	:	US
Telephone Number	:	248-366-3700
Fax Number	:	248-360-1760

Provider Business Practice Location Address
First Line	:	4123 MARTIN RD
Second Line	:	SUITE 102
City	:	COMMERCE TWP
State	:	MI
Zip	:	48390-4151
Country	:	US
Telephone Number	:	248-366-3700
Fax Number	:	248-360-1760

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	ADIL ARABBO
Credential	:	M.D.
Telephone Number	:	248-366-3700

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	05/23/2008

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Directions to “ADIL ARABBO ” Practice Location

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