Individual
DR. TAREK LOTFY IBRAHIM MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 E MICHIGAN AVE, SPARROW HOSPITAL, NEONATOLOGY UNIT, 3RD FLOOR, LANSING, MI 48912-1811
(517) 364-2468
Mailing address
804 SERVICE RD # A109F, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301099872
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467535211
—
MI
Enumeration date
10/24/2012
Last updated
10/04/2018
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