Healthcare Provider Details

I. General information

NPI: 1831570332
Provider Name (Legal Business Name): WAQAS ABID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WILLIAM CARLS DR
COMMERCE TOWNSHIP MI
48382-2201
US

IV. Provider business mailing address

PO BOX 18998
BELFAST ME
04915-4084
US

V. Phone/Fax

Practice location:
  • Phone: 248-937-3300
  • Fax: 248-937-4729
Mailing address:
  • Phone: 888-402-7256
  • Fax: 888-902-1099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number311551
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301506944
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: