Individual
MOHAMED AHMED MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH BAO
Contact information
Practice address
22201 MOROSS RD, DETROIT, MI 48236-2169
(313) 343-7774
(313) 343-8747
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351048436
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301511312
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2021
Last updated
06/26/2024
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