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Individual
MOHANAD M FALLOUH
Active
Individual
MOHANAD M FALLOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083048
MI
207R00000X
Internal Medicine Physician
Primary
MD443377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01005838
HEALTHPLUS COMMERCIAL
MI
01
—
1016406
MCLAREN HEALTH PLAN
MI
01
—
1018503
MCLAREN HEALTH PLAN
MI
01
—
1020183
MCLAREN HEALTH PLAN
MI
01
—
1103710361
BCBSM
MI
01
—
200000005731
PHP COMMERCIAL
MI
01
—
440771
MLHC MEDICARE AA #
PA
05
—
4732682-10
—
MI
05
—
4847475-10
—
MI
05
—
4885019-10
—
MI
Enumeration date
06/03/2006
Last updated
04/04/2023
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