DR. ABDULLAH MALLISHO M.D. NPI 1174856983

NPI Information

NPI: 1174856983
Provider Name: DR. ABDULLAH MALLISHO, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
5250 AUTO CLUB DR
STE 200
DEARBORN, MI
ZIP 48126
Phone: (313) 914-5591
Get Directions

DR. Abdullah Mallisho, M.D. is an endocrinology and diabetes and metabolism internal medicine in Dearborn, MI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Abdullah Mallisho, M.D. NPI is 1174856983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5250 AUTO CLUB DR
STE 200
DEARBORN, MI
ZIP 48126-212
Phone: (313) 914-5591
Fax: (313) 982-9942

The enumeration date for this NPI number is 9/10/2009 and was last updated on 7/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		4301094502	MICHIGAN	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	4301094502	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MI3696005	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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