Advanced Breast Surgery PLLC
Organization Active NPI Surgery Physician · Allen Park, MI
NPI 1700634987 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1700634987
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ADVANCED BREAST SURGERY PLLC
- Practice address
- 7910 Allen Rd # 101
Allen Park, MI 48101-1704 - Phone
- (248) 480-1555
- Fax
- (313) 730-9260
- NPI assigned
- May 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Majd Aburabia, MD
- Title
- Owner
- Phone
- (248) 480-1555
Practitioners 1
-
Majd Aburabia, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240606003761 | MI | Part B Supplier - Clinic/Group Practice | 5799227609 |
Receives reassigned benefits from 1 practitioner Practice locations: Allen Park, MI |
National Provider Directory
Locations
7910 Allen Rd
#101
Allen Park, MI 48101
Phone (248) 480-1555
7910 Allen Rd
Allen Park, MI 48101
Phone (313) 648-1212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
7910 Allen Rd # 101
Allen Park, MI 48101-1704
Mailing address
24327 Ford Rd
Dearborn, MI 48128-1129
Other providers in Allen Park, MI
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All providers in Allen Park, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.