Abdo, Basil Omar

Abdo, Basil Omar is an sole proprietor health care provider with primary practice located at 24224 Joy Rd Suite 100, Redford MI 48239-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abdo, Basil Omar can be contacted via phone (313) 561-9090.

Contact Information

Primary practice address
24224 Joy Rd Suite 100 Redford MI 48239-1215
Phone: (313) 561-9090
Fax: (313) 561-3646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301081899 Michigan

Profile Details

NPI number 1730121443
LBN Legal business name Abdo, Basil Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Jul 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730121443 NPPES
Michigan Other 700E012740 BCBS GROUP NUMBER
Michigan Other 080F334280 BCBS GROUP NUMBER
Michigan MEDICAID 4896139/10 BCBS GROUP NUMBER
Michigan Other 08-0950225-2 BCBS GROUP NUMBER

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