SURA ABBAS, MD

NPI 1801687405 Active Internal Medicine

Quick Facts

NPI Number

1801687405

Type

Individual (NPI-1)

Credential

Status

Active

Enumeration Date

2025-05-14

Last Updated (NPPES)

2025-07-04

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	4351055132 MI

Other Taxonomies

Student in an Organized Health Care Education/Training Program

Practice Address

11885 E 12 MILE RD STE 200B
WARREN, MI 480933469

Phone: 586-582-6630

Fax: 586-582-6631

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