Individual
FATHIA ALI MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(703) 598-4556
Mailing address
109 LAKE VILLAGE BLVD, DEARBORN, MI 48120-1684
(703) 598-4556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351051213
MI
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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