Individual
DR. MOHAMMAD A HAMMOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, UNIVERSITY HEALTH CENTER 4H, DETROIT, MI 48201-2153
(313) 745-4008
(313) 993-0903
Mailing address
4201 SAINT ANTOINE ST, UNIVERSITY HEALTH CENTER 4H, DETROIT, MI 48201-2153
(313) 745-4008
(313) 993-0903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301083021
MI
208M00000X
Hospitalist Physician
4301083021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265559488
NPI #
MI
05
—
4985300-10
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
Enumeration date
03/23/2007
Last updated
08/13/2009
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