IndividualActive
Abdel-Azez Abu-Samak, MBBS
NPI 1053984989 · Student in an Organized Health Care Education/Training Program · Detroit, MI
Provider details
- NPI number
- 1053984989
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
2800 W Grand Blvd
Detroit, MI 48202-2610
Phone: (888) 777-4167
Approximate (ZIP-level) locationGet directions
Mailing address
2800 W Grand Blvd Fl 6
Detroit, MI 48202-2610
Registry dates
- Enumerated
- 2021-07-19
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.