Alfadl Abdulfattah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301104752 Issued in MI

Practice address

22101 Moross Rd Ste 50
St. John Hospital and Medical Center
Detroit, MI 48236-2148

Phone

(313) 343-7784

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1386050946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD STE 50",
            "address_2": "ST. JOHN HOSPITAL AND MEDICAL CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD STE 50",
            "address_2": "ST. JOHN HOSPITAL AND MEDICAL CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULFATTAH",
        "first_name": "ALFADL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301104752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asif Mohammed Abdul Hameed, M.D
• Hussein Abdul Nabi
• Aisha Abdul-Latif
• Khaled Abdul-Nour, M.D.
• Ahmed Adnan Abduladheem, MD
• Muwaffak Mohammad Abdulhak, M.D
• Ibrahim Abdulhamid, MD
• Sarah Abdulhamid
• Noor Abdulla, MD
• Samantha Abdulla

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.