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Individual

DR. MAHMOOD FATTOOH MOOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15506 S TELEGRAPH RD, MONROE, MI 48161-5520
(734) 682-5243
(888) 677-1987
Mailing address
15506 S TELEGRAPH RD, MONROE, MI 48161-5520
(734) 682-5243
(888) 677-1987

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35067199
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2158454
OH
Enumeration date
06/23/2005
Last updated
01/09/2011
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