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Individual

MOHAMED A. ELSHAYEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301507875
MI
207RN0300X
Nephrology Physician
Primary
4301507875
MI
207RN0300X
Nephrology Physician
49899
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49899
STATE LICENSE
KY
Enumeration date
07/03/2012
Last updated
10/10/2025
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