RYAN ABBOUD, DO

NPI 1104353077 Active Family Medicine

Quick Facts

NPI Number

1104353077

Type

Individual (NPI-1)

Credential

Status

Active

Enumeration Date

2017-05-22

Last Updated (NPPES)

2025-03-20

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	5101025222 MI

Practice Address

32270 TELEGRAPH RD STE 240
BINGHAM FARMS, MI 480252457

Phone: 248-548-3060

Fax: 248-548-3078

Mailing Address

18207 GOULD CT
BEVERLY HILLS, MI 480255451

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.