Healthcare Provider Details

I. General information

NPI: 1316936008
Provider Name (Legal Business Name): ADIL YOUSIF ARABBO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4123 MARTIN RD STE 102
COMMERCE TOWNSHIP MI
48390-4151
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR MI
48105-9484
US

V. Phone/Fax

Practice location:
  • Phone: 248-366-3700
  • Fax: 248-366-1038
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301065973
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: