Basic Information
Provider Information
NPI: 1265477418
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SABIR
FirstName: MUBASHIR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 27483 DEQUINDRE RD
Address2: STE 204
City: MADISON HEIGHTS
State: MI
PostalCode: 480713491
CountryCode: US
TelephoneNumber: 2489677326
FaxNumber: 2489677330
Practice Location
Address1: 27483 DEQUINDRE RD
Address2: STE 204
City: MADISON HEIGHTS
State: MI
PostalCode: 480713491
CountryCode: US
TelephoneNumber: 2489677326
FaxNumber: 2489677330
Other Information
ProviderEnumerationDate: 06/19/2006
LastUpdateDate: 05/16/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X4301076234MIY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


Home