MEDICARE: ALLIED PHYSICIANS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1649931239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED PHYSICIANS PLLC

Provider Business Mailing Address
First Line	:	20203 ANN ARBOR TRL
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2631
Country	:	US
Telephone Number	:	248-957-1729
Fax Number	:	248-757-2150

Provider Business Practice Location Address
First Line	:	20203 ANN ARBOR TRL
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2631
Country	:	US
Telephone Number	:	248-897-9977
Fax Number	:	248-757-2150

Authorized Official
Title or Position	:	OWNER
Name	:	REDWAN ASBAHI
Credential	:	MD
Telephone Number	:	248-957-1729

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	03/22/2023

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