Healthcare Provider Details

I. General information

NPI: 1184596215
Provider Name (Legal Business Name): ZINAB ABDALLAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22930 MARLBORO ST
DEARBORN MI
48128-1885
US

IV. Provider business mailing address

22930 MARLBORO ST
DEARBORN MI
48128-1885
US

V. Phone/Fax

Practice location:
  • Phone: 313-759-6601
  • Fax:
Mailing address:
  • Phone: 313-759-6601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number4704355093
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: