Dabbagh, Mamoun

Dabbagh, Mamoun is an sole proprietor health care provider with primary practice located at 28800 Ryan Rd Ste 320, Warren MI 48092-4272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Dabbagh, Mamoun can be contacted via phone (586) 582-0500.

Contact Information

Primary practice address
28800 Ryan Rd Ste 320 Warren MI 48092-4272
Phone: (586) 582-0500
Fax: (586) 620-8113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301045473 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301045473 Michigan

Profile Details

NPI number 1962552158
LBN Legal business name Dabbagh, Mamoun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Sep 8th, 2014 - about 12 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 1962552158 NPPES
Michigan MEDICAID 2721634
Michigan Other 2606315452

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