Individual
DR. MAHMOUD OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST, SUITE 724, DETROIT, MI 48201-2020
(313) 832-8888
(313) 831-1137
Mailing address
4160 JOHN R ST, SUITE 724, DETROIT, MI 48201-2020
(313) 832-8888
(313) 831-1137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081581
MI
207RC0000X
Cardiovascular Disease Physician
4301081581
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301081581
MI
207UN0901X
Nuclear Cardiology Physician
4301081581
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301081581
MI
2085U0001X
Diagnostic Ultrasound Physician
4301081581
MI
2086S0129X
Vascular Surgery Physician
4301081581
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06144810
ECFMG
—
Enumeration date
05/22/2006
Last updated
08/06/2013
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