Individual
DR. MOUHAMMED JOUMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25910 KELLY RD, SUITE B, ROSEVILLE, MI 48066-4466
(586) 772-3366
(586) 772-3355
Mailing address
50505 SCHOENHERR RD, SUITE 320, SHELBY TOWNSHIP, MI 48315-3140
(586) 580-3062
(586) 580-3143
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301074133
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301074133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301074133
PHYSICIAN LICENSE
MI
01
—
5315023267
CONTROLLED SUBSTANCE LICE
MI
Enumeration date
04/03/2007
Last updated
10/12/2023
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