Abdulrazzak, Mamdouh

Abdulrazzak, Mamdouh is an individual health care provider with primary practice located at 4700 Greenfield Rd , Dearborn MI 48126-4124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Abdulrazzak, Mamdouh can be contacted via phone (313) 945-6100.

Contact Information

Primary practice address
4700 Greenfield Rd Dearborn MI 48126-4124
Phone: (313) 945-6100
Fax: (313) 945-5260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 4301063026 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA0163026 Michigan

Profile Details

NPI number 1689649923
LBN Legal business name Abdulrazzak, Mamdouh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Apr 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689649923 NPPES
Michigan MEDICAID 4272199
Michigan MEDICAID 5209224

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