Provider Demographics
NPI:1891582912
Name:ALHALBOUNI, ABDALLAH MARWAN MOH'D ADNAN
Entity type:Individual
Prefix:MR
First Name:ABDALLAH
Middle Name:MARWAN MOH'D ADNAN
Last Name:ALHALBOUNI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 ST. ANTOINE STREET UHC SUITE 9C
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-715-1577
Mailing Address - Fax:
Practice Address - Street 1:4201 ST. ANTOINE STREET UHC SUITE 9C
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-715-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program