IndividualActive
Abdullah Mallisho, M.D.
NPI 1174856983 · Endocrinology, Diabetes & Metabolism Physician · Dearborn, MI
Provider details
- NPI number
- 1174856983
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301094502 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5250 Auto Club Dr
Ste 200
Dearborn, MI 48126-4212
Phone: (313) 914-5591
Fax: (313) 982-9942
Approximate (ZIP-level) locationGet directions
Mailing address
5250 Auto Club Dr
Dearborn, MI 48126-4212
Registry dates
- Enumerated
- 2009-09-10
- Last updated
- 2016-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.