Al-Azem, Mohamed Wadah

Al-Azem, Mohamed Wadah is an individual health care provider with primary practice located at 168 S Howell St , Hillsdale MI 49242-2040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Al-Azem, Mohamed Wadah can be contacted via phone (517) 437-5149.

Contact Information

Primary practice address
168 S Howell St Hillsdale MI 49242-2040
Phone: (517) 437-5149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301036070 Michigan

Profile Details

NPI number 1558436022
LBN Legal business name Al-Azem, Mohamed Wadah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1558436022 NPPES
Michigan Other P00034317 RAILROAD MEDICARE
Michigan Other 1620026 RAILROAD MEDICARE
Michigan MEDICAID 4481395 RAILROAD MEDICARE

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