Individual
DR. MOHANAD ALI ALFAQIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 778-2600
Mailing address
2799 W. GRAND BLVD., HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301096285
MI
207RP1001X
Pulmonary Disease Physician
Primary
2015034886
MO
Other
Enumeration date
06/04/2010
Last updated
08/31/2020
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