Provider Demographics
NPI:1871581322
Name:ABBUD, WAFA AFIF (MD)
Entity type:Individual
Prefix:DR
First Name:WAFA
Middle Name:AFIF
Last Name:ABBUD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1335 S LINDEN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3420
Mailing Address - Country:US
Mailing Address - Phone:810-720-6070
Mailing Address - Fax:810-720-6075
Practice Address - Street 1:1335 S LINDEN RD
Practice Address - Street 2:SUITE C
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3420
Practice Address - Country:US
Practice Address - Phone:810-720-6070
Practice Address - Fax:810-720-6075
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2012-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301084979207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4865400Medicaid
MIP00312950OtherRAILROAD MEDICARE
MI4865400Medicaid