Individual
BASIL MOHAMMED DUDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16815 E JEFFERSON AVE STE 240, GROSSE POINTE, MI 48230-1923
(313) 473-4690
(313) 473-4688
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301079856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
10
MI
05
—
4856330
—
MI
Enumeration date
05/05/2006
Last updated
05/05/2026
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