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General NPI Number Information
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NPI Number | 1447560818
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Entity Type | Individual
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Provider Name | MUHAMMAD IMRAN SHABBIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 8600 CHICAGO RD
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City | WARREN
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State | MI
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Zip | 48093-5546
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Country | US
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Telephone | 586-826-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4806
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301513060
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME160481
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License Number State | FL
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