Individual provider · NPI-1
Mujtaba Mohammed Ahmed Abdellatif, M.D
Internal Medicine, Pulmonary Disease · Farmington Hills, MI
NPI number1972291961
StatusActive
Last updated in NPPESJun 17, 2026
Details
- NPI
- 1972291961
- Entity type
- Individual (NPI-1)
- Name
- Mujtaba Mohammed Ahmed Abdellatif
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2023
- Certification date
- Jun 17, 2026
- Last updated
- Jun 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 4351050882 | MI | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 4351050882 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4351050882 | MI | |
| 207R00000X | Internal Medicine | 4351050882 | MI |
Practice location
29275 W 10 Mile RdFarmington Hills, MI 48336-2817
Phone 248-350-2722 · Fax 248-350-0154
Mailing address
29275 W 10 Mile RdFarmington Hills, MI 48336-2817
Phone 248-350-2722 · Fax 248-350-0154
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