MEDICARE: HAWAZIN KUDDIAR ABBAS 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
1	207R00000X	Internal Medicine Physician	ME144941	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME144941	FL
3	207RP1001X	Pulmonary Disease Physician	ME144941	FL
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	4301101688	MI
5	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME144941	FL
6	390200000X	Student in an Organized Health Care Education/Training Program
7	207RP1001X	Pulmonary Disease Physician	4301101688	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699020677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAWAZIN KUDDIAR ABBAS MD

Provider Business Mailing Address
First Line	:	3100 CROSS CREEK PKWY STE 210B
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2776
Country	:	US
Telephone Number	:	248-335-1110
Fax Number	:	248-335-6129

Provider Business Practice Location Address
First Line	:	3100 CROSS CREEK PKWY STE 210B
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2776
Country	:	US
Telephone Number	:	248-335-1110
Fax Number	:	248-335-6129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2012
Last Update Date	:	07/18/2022

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Directions to “ HAWAZIN KUDDIAR ABBAS MD” Practice Location

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