Organization
ASADULLA MOHAMMED MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASUDULLA MOHAMMED MD (PRESIDENT)
(248) 494-8596
Entity
Organization
Contact information
Practice address
27901 WOODWARD AVE STE 220, BERKLEY, MI 48072-0918
(248) 556-5582
(248) 850-7142
Mailing address
17177 N LAUREL PARK DR STE 439, LIVONIA, MI 48152-3938
(248) 556-5237
(248) 850-7142
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301072444
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301072444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290F395360
BCBSM
MI
Enumeration date
01/19/2011
Last updated
06/12/2024
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