Basic Information
| Provider Information | |||||||||
| NPI: | 1104948280 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABDULRAZZAK | ||||||||
| FirstName: | AMEER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45640 SCHOENHERR RD | ||||||||
| Address2: | STE B | ||||||||
| City: | SHELBY TOWNSHIP | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483156033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862474300 | ||||||||
| FaxNumber: | 3134322935 | ||||||||
| Practice Location | |||||||||
| Address1: | 18001 E 10 MILE | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | ROSEVILLE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480663803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862185800 | ||||||||
| FaxNumber: | 5862185808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2007 | ||||||||
| LastUpdateDate: | 04/16/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 4301087269 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.