Provider Demographics
NPI:1124299235
Name:ELBADAWI, HUSSEIN S (MD)
Entity type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:S
Last Name:ELBADAWI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1420 STEPHENSON HWY
Mailing Address - Street 2:SUITE 400-CREDENTIALING
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1189
Mailing Address - Country:US
Mailing Address - Phone:248-581-5972
Mailing Address - Fax:248-581-5640
Practice Address - Street 1:4201 SAINT ANTOINE ST
Practice Address - Street 2:UHC-SUITE 5A
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2153
Practice Address - Country:US
Practice Address - Phone:313-745-4525
Practice Address - Fax:313-993-0085
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2013-12-13
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Provider Licenses
StateLicense IDTaxonomies
MI4301098827207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine