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Individual

MR. MAMDOUH ABDULRAZZAK

Active
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Individual

MR. MAMDOUH ABDULRAZZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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