Individual provider · NPI-1

Ahmed Khaled Abdelaziz Abdelrahman

Internal Medicine · Detroit, MI

NPI number1457026726
StatusActive
Last updated in NPPESAug 10, 2021

Details

NPI
1457026726
Entity type
Individual (NPI-1)
Name
Ahmed Khaled Abdelaziz Abdelrahman
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2021
Certification date
Aug 10, 2021
Last updated
Aug 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4351048454MIYes

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Phone 313-966-3300

Mailing address

6071 W Outer Dr
Detroit, MI 48235-2624

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