Mohamed Ahmed Maki, MBBCh BAO
Internal Medicine, Cardiovascular Disease in Detroit, MI. Individual provider (NPI-1).
NPI number1710568290
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1710568290
- Entity type
- Individual (NPI-1)
- Name
- Mohamed Ahmed Maki
- Credential
- MBBCh BAO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2021
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 4301511312 | MI | Yes |
| 207R00000X | Internal Medicine | 4351048436 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Mohamed Ahmed Al-Haddad (Other Name)
Practice location
22201 Moross RdDetroit, MI 48236-2169
Phone 313-343-7774 · Fax 313-343-8747
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2608
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