Organization
MAMDOUH ABDULRAZZAK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMDOUH ABDULRAZZAK MD (PRESIDENT)
(313) 563-3332
Entity
Organization
Contact information
Practice address
3200 GREENFIELD RD, SUITE 250, DEARBORN, MI 48120-1802
(313) 563-3332
(313) 563-3342
Mailing address
PO BOX 250341, FRANKLIN, MI 48025-0341
(313) 563-3332
(313) 563-3342
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301063026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI3232
MEDICARE
MI
Enumeration date
08/05/2010
Last updated
11/22/2010
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