Healthcare Provider Details

I. General information

NPI: 1699685867
Provider Name (Legal Business Name): ABBAS ALNAIM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30730 FORD RD
GARDEN CITY MI
48135-1803
US

IV. Provider business mailing address

30730 FORD RD
GARDEN CITY MI
48135-1803
US

V. Phone/Fax

Practice location:
  • Phone: 313-919-2413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: