Abdulkader Ali Fadel

Primary specialty

PharmacyTaxonomy code 333600000X

License

5302042334 Issued in MI

Practice address

24710 Michigan Ave
Dearborn, MI 48124-1750

Phone

(313) 429-3444

NPI assigned

Jun 6, 2018

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2021.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1730671561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24710 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241750",
            "telephone_number": "313-429-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24710 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241750",
            "telephone_number": "313-429-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEL",
        "first_name": "ABDULKADER",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5302042334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cidra Ezzeddin
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• Michelle Anne Faber, M.D.
• Fadi Baidoun MD PC
• Amani Fadlallah
• Hassane Fadlallah, RPH
• Houssam M Fadlallah, P.A.-C
• Fahs Surgical Services PLLC

• All providers in Dearborn, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.