Provider Demographics
NPI:1265938781
Name:ABADA, ASMAA FADHIL (DPM)
Entity type:Individual
Prefix:DR
First Name:ASMAA
Middle Name:FADHIL
Last Name:ABADA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:29425 NORTHWESTERN HWY
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1080
Mailing Address - Country:US
Mailing Address - Phone:248-557-6500
Mailing Address - Fax:248-557-2781
Practice Address - Street 1:29425 NORTHWESTERN HWY
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1080
Practice Address - Country:US
Practice Address - Phone:248-557-6500
Practice Address - Fax:248-557-2781
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901400432213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery