Provider Demographics
NPI:1619920634
Name:BDEIR, RABEI W (MD)
Entity type:Individual
Prefix:
First Name:RABEI
Middle Name:W
Last Name:BDEIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9460 S SAGINAW RD STE D
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8207
Mailing Address - Country:US
Mailing Address - Phone:810-733-7741
Mailing Address - Fax:810-733-8898
Practice Address - Street 1:44405 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5023
Practice Address - Country:US
Practice Address - Phone:248-858-3190
Practice Address - Fax:810-733-8898
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI079348207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2205014772OtherBS
MIP00145661OtherRRMC
MI4616692Medicaid
MI4616692Medicaid
I12100Medicare UPIN