Provider Demographics
NPI:1922754621
Name:ABAZEED, DIANA ALEXANDRIA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:ALEXANDRIA
Last Name:ABAZEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1537
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48121-1537
Mailing Address - Country:US
Mailing Address - Phone:313-920-5522
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1537
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48121-1537
Practice Address - Country:US
Practice Address - Phone:313-920-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner