Individual
DR. HEBA MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 478-6161
Mailing address
765 ARDMORE ST, DEARBORN HTS, MI 48127-4146
(313) 478-6161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021778
MI
208M00000X
Hospitalist Physician
02008144A
IN
208M00000X
Hospitalist Physician
Primary
5101021778
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2015
Last updated
11/25/2024
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