Dudar, Basil Mohammed

Dudar, Basil Mohammed is an individual health care provider with primary practice located at 24211 Little Mack Ave , St Clair Shores MI 48080-1190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dudar, Basil Mohammed can be contacted via phone (586) 498-0440.

Contact Information

Primary practice address
24211 Little Mack Ave St Clair Shores MI 48080-1190
Phone: (586) 498-0440
Fax: (586) 498-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301079856 Michigan

Profile Details

NPI number 1407804958
LBN Legal business name Dudar, Basil Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Dec 1st, 2020 - about 4 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 1407804958 NPPES
Michigan Other 10 10
Michigan MEDICAID 4856330 10

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