MUHANNED SALAH IMAM ABDALLAH M.D
NPI 1235820648
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 17, 2023PECOS Enrolled
4201 ST. ANTOINE, STE 8C-UHC, WAYNE STATE SCHOOL OF MEDICINE-DEPARTMENT OF NEUROLOGY, DETROIT, MI 48201(313) 745-1302 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2023, May 17, 2023 (2 updates tracked since 2023).

About Muhanned Salah Imam Abdallah M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUHANNED SALAH IMAM ABDALLAH M.D (NPI 1235820648) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235820648
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUHANNED SALAH IMAM ABDALLAHCredential: M.D
Location Address4201 ST. ANTOINE, STE 8C-UHC, WAYNE STATE SCHOOL OF MEDICINE-DEPARTMENT OF NEUROLOGYDetroit, MI 48201
Mailing Address4201 St. Antoine, Ste 8c-uhc, Wayne State School Of Medicine-department Of NeurologyDetroit, MI 48201 · (313) 745-1302
Sole ProprietorYes
Enumeration DateMay 17, 2023
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1235820648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 ST. ANTOINE, STE 8C-UHC, Detroit, MI 48201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Muhanned Salah Imam Abdallah M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muhanned Abdallah's NPI number?

The NPI number for Muhanned Abdallah is 1235820648. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Muhanned Abdallah located?

Muhanned Abdallah practices at 4201 St. Antoine, Ste 8c-Uhc Wayne State School Of Medicine-Department Of Neurology, Detroit, MI 48201. The listed phone number is (313) 745-1302.

What is Muhanned Abdallah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Muhanned Abdallah enrolled in Medicare?

Yes. Muhanned Abdallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Muhanned Abdallah was last updated on September 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.