Individual
OSSAMA MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4717 ST. ANTOINE ST, DETROIT, MI 48201
(313) 577-8900
Mailing address
4717 ST. ANTOINE ST, DETROIT, MI 48201
(519) 281-8944
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4351053484
MI
Other
Enumeration date
06/20/2024
Last updated
08/15/2024
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