Individual
DR. MOHAMAD A SOBH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., RPH.
Contact information
Practice address
1611 MONROE ST, DEARBORN, MI 48124-2912
(313) 278-7100
(313) 562-2216
Mailing address
1611 MONROE ST, DEARBORN, MI 48124-2912
(313) 278-7100
(313) 562-2216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302031496
MI
207R00000X
Internal Medicine Physician
5101016232
MI
207RC0000X
Cardiovascular Disease Physician
5101016232
MI
207RI0011X
Interventional Cardiology Physician
Primary
5101016232
MI
207UN0901X
Nuclear Cardiology Physician
5101016232
MI
2085U0001X
Diagnostic Ultrasound Physician
5101016232
MI
2086S0129X
Vascular Surgery Physician
5101016232
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003030685
—
MI
Enumeration date
04/13/2007
Last updated
08/16/2014
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