NPI 1700460235 · live from the CMS NPI Registry
Hassan Ali Abboud
Podiatrist, Foot & Ankle Surgery in Lincoln Park, MI. National Provider Identifier 1700460235, active.
NPI record
| NPI | 1700460235 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2041 Fort St, Lincoln Park, MI 48146 |
| Practice phone | 313-603-0102 |
| Mailing address | 5404 Hillcrest St, Gladwin, MI 48624 |
| Enumerated | May 11, 2021 |
| Last updated | October 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5901400525 (MI) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | P114204 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.