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Individual

ISLAM MOHAMAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(720) 363-9084
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351052501
MI
207R00000X
Internal Medicine Physician
TL.0011068
CO

Other

Enumeration date
04/15/2024
Last updated
06/30/2025
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