Individual
DR. ISLAM ALI GOMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W. GRAND BOULVARD, HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(201) 675-7028
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(201) 675-7028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.124000
OH
207Q00000X
Family Medicine Physician
35.124000
OH
207Q00000X
Family Medicine Physician
Primary
4301099280
MI
Other
Enumeration date
08/03/2011
Last updated
10/24/2023
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