Rand Ali Abdullatef, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Detroit, MI
NPI 1164217816 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1164217816
- 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 6a
Detroit, MI 48201-2153 - Phone
- (313) 745-4627
- Fax
- (313) 966-7305
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250715002399 | MI | Order and Referring Only - Internal Medicine |
9335654763 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rand.abdullatef.1@19711.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Yes |
Addresses
Primary practice location
4201 Saint Antoine St Ste 6a
Detroit, MI 48201-2153
Mailing address
4201 Saint Antoine St Ste 9C
Detroit, MI 48201-2153
Phone (313) 745-5146
Other providers in Detroit, MI
- Samantha Abdulla
- Wagdi Abdulla
- Carol Abdullah
- Ibrahim Mohamed Abdullah
- Synovia Abdullah
- Yasir Azhar Abdulmunem
- Rand Abdulnour-Farjo
- Azal Abdulridha
- Rasha Mohammed Abdulridha
- Nawal Abdulsaid
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 14, 2025. 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.