| George Mohamedally Do Pc | |
|
387 North State Otisville MI 48463 | |
| (810) 631-4060 | |
| (810) 631-4101 |
| Full Name | George Mohamedally Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 387 North State, Otisville, Michigan |
| Authorized Official Name and Position | George Stalin Mohamedally (PHYSICIAN) |
| Authorized Official Contact | 8106316373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Mohamedally Do Pc Po Box 126 Otisville MI 48463 Ph: () - | George Mohamedally Do Pc 387 North State Otisville MI 48463 Ph: (810) 631-4060 |
| NPI Number | 1285696682 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285696682 | NPI | - | NPPES |
| 1304422 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007095 (Michigan) | Primary |
Mohamed Ally Health Plaza Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 387 N State Rd, Ste A, Otisville, MI 48463 Phone: 810-631-4060 |