Provider Demographics
NPI:1881409589
Name:GASTROENTEROLOGY AND LIVER INSTITUTE, PC
Entity type:Organization
Organization Name:GASTROENTEROLOGY AND LIVER INSTITUTE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-444-9881
Mailing Address - Street 1:3273 DAVISON RD STE 4
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2902
Mailing Address - Country:US
Mailing Address - Phone:810-660-7535
Mailing Address - Fax:810-660-7506
Practice Address - Street 1:3273 DAVISON RD STE 4
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2902
Practice Address - Country:US
Practice Address - Phone:810-660-7535
Practice Address - Fax:810-660-7506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty