Provider Demographics
NPI:1538344312
Name:ABDULBAKI, AMMAR (MD)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:ABDULBAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:263 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-2138
Mailing Address - Country:US
Mailing Address - Phone:248-340-3536
Mailing Address - Fax:
Practice Address - Street 1:KING FAISAL HOSPITAL AND RESEARCH CENTER
Practice Address - Street 2:TAKHASSUSI STREET
Practice Address - City:RIYADH
Practice Address - State:RIYADH
Practice Address - Zip Code:11211
Practice Address - Country:SA
Practice Address - Phone:0119661-464-7272
Practice Address - Fax:0119661-442-3714
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301063513207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology