Healthcare Provider Details
I. General information
NPI: 1851040372
Provider Name (Legal Business Name): NAVIN ABRO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/22/2022
Last Update Date: 07/01/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22101 MOROSS RD
DETROIT MI
48236-2148
US
IV. Provider business mailing address
33333 GRAND RIVER
FARMINGTON HILLS MI
48334
US
V. Phone/Fax
- Phone: 313-343-3400
- Fax:
- Phone: 248-536-2127
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 5101028431 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: