Noor Abdulla, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Detroit, MI
NPI 1114772829 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1114772829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4201 Saint Antoine St Ste 8C
Detroit, MI 48201-2153 - Phone
- (313) 745-4275
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4201 Saint Antoine St Ste 8C
Detroit, MI 48201-2153
Mailing address
4201 Saint Antoine St Ste 8C
Detroit, MI 48201-2153
Phone (313) 745-4275
Other providers in Detroit, MI
- Ahmed Adnan Abduladheem
- Alfadl Abdulfattah
- Muwaffak Mohammad Abdulhak
- Ibrahim Abdulhamid
- Sarah Abdulhamid
- Samantha Abdulla
- Wagdi Abdulla
- Carol Abdullah
- Ibrahim Mohamed Abdullah
- Synovia Abdullah
All providers in Detroit, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.