ASIYAH ABDUL, MD

NPI 1629818703 Active Family Medicine

Quick Facts

NPI Number

1629818703

Type

Individual (NPI-1)

Credential

Status

Active

Enumeration Date

2024-05-28

Last Updated (NPPES)

2026-10-09

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	4351052842 MI

Practice Address

300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 495034692

Phone: 616-685-6922

Fax: 616-685-5101

Mailing Address

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 495034502

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