Organization
ALI HASAN MAHMOOD MD PLC
Active
Other names
AM MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI H MAHMOOD MD (OWNER/PHYSICIAN)
(313) 893-5490
Entity
Organization
Contact information
Practice address
13031 CONANT ST, DETROIT, MI 48212-2361
(313) 893-5490
(313) 893-5495
Mailing address
13031 CONANT ST, DETROIT, MI 48212-2361
(313) 893-5490
(313) 561-0277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
GP068359
MI
207R00000X
Internal Medicine Physician
Primary
AM056507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275532905
—
MI
05
—
4283129
—
MI
01
—
615861800
DEPT OF LABOR
MI
01
—
700H215230
BC
MI
01
—
DA2203
RAILROAD MEDICARE
MI
Enumeration date
07/15/2005
Last updated
11/07/2024
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