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 NPI 1174687370
Title
Owner
Phone
(248) 480-1555

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

All providers in Allen Park, MI · Surgery Physician in Michigan

Sources for this page

Verify at the official NPI Registry.