Individual provider · NPI-1

Mahmoud Al-Shami, M.D.

Internal Medicine · Troy, MI

NPI number1639279458
StatusActive
Last updated in NPPESNov 15, 2012

Details

NPI
1639279458
Entity type
Individual (NPI-1)
Name
Mahmoud Al-Shami
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 22, 2006
Last updated
Nov 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301074106MIYes

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Phone 248-691-8646

Mailing address

6815 Oakman Blvd
Dearborn, MI 48126-1826

Phone 313-407-6040

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