| Mamdouh Abdulrazzak Md Pc | |
|
3200 Greenfield Rd Suite 250 Dearborn MI 48120-1802 | |
| (313) 563-3332 | |
| (313) 563-3342 |
| Full Name | Mamdouh Abdulrazzak Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3200 Greenfield Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Mamdouh Abdulrazzak (PRESIDENT) |
| Authorized Official Contact | 3135633332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mamdouh Abdulrazzak Md Pc Po Box 250341 Franklin MI 48025-0341 Ph: (313) 563-3332 | Mamdouh Abdulrazzak Md Pc 3200 Greenfield Rd Suite 250 Dearborn MI 48120-1802 Ph: (313) 563-3332 |
| NPI Number | 1831403401 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 11/22/2010 |
| Medicare PECOS PAC ID | 8628261567 |
|---|---|
| Medicare Enrollment ID | O20101022001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831403401 | NPI | - | NPPES |
| MI3232 | Other | MI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301063026 (Michigan) | Primary |
| Provider Name | Mamdouh Abdulrazzak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689649923 PECOS PAC ID: 2668576349 Enrollment ID: I20070406000251 |
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