Individual
MR. MAMDOUH ABDULRAZZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 945-6100
(313) 945-5260
Mailing address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 563-3332
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301063026
MI
2084N0400X
Neurology Physician
Primary
MA0163026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4272199
—
MI
05
—
5209224
—
MI
Enumeration date
02/21/2006
Last updated
04/29/2019
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