Individual
MOHAMMAD OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD STE 707, BEAUMONT CHILDREN'S HOSPITAL PEDIATRIC GASTROENTEROLOGY, ROYAL OAK, MI 48073-6770
(248) 551-0487
(248) 551-3696
Mailing address
3535 W 13 MILE RD STE 707, BEAUMONT CHILDREN'S HOSPITAL PEDIATRIC GASTROENTEROLOGY, ROYAL OAK, MI 48073-6770
(248) 551-0487
(248) 551-3696
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301104035
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06243
—
LA
Enumeration date
05/16/2008
Last updated
02/08/2022
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