Muhammad Jehad Abbas, MD

Key facts

NPI

1417607474

Entity type

Individual (NPI type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program 390200000X

Practice address

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone

(313) 461-6004

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

No

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mabbas595765@direct.hfhs.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 24, 2022.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1417607474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WAGNER CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242223",
            "telephone_number": "313-848-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-461-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "MUHAMMAD",
        "middle_name": "JEHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

• Abba Care Corporation
• Ahmad Abbas Abbas
• Fatima Abbas
• Mahmoud Abbas
• Mohammed Tiseer Abbas, MD
• Omar Abbas, MD
• Rasha Abbas
• Syed Hasnain Abbas, PHARM D.
• Ammaar Mohammad Ali Abbasi, M.D.
• Azad Abbasi, M.S.

All providers in Detroit, MI · Student in an Organized Health Care Education/Training Program in Michigan