MAMDOUH ABDULRAZZAK MD PC NPI 1831403401

NPI Information

NPI: 1831403401
Provider Name: MAMDOUH ABDULRAZZAK MD PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
3200 GREENFIELD RD
SUITE 250
DEARBORN, MI
ZIP 48120
Phone: (313) 563-3332
Get Directions

MAMDOUH ABDULRAZZAK MD PC is a neurology psychiatry neurology in Dearborn, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MAMDOUH ABDULRAZZAK MD PC NPI is 1831403401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 GREENFIELD RD
SUITE 250
DEARBORN, MI
ZIP 48120-802
Phone: (313) 563-3332
Fax: (313) 563-3342

The provider's authorized official is Mamdouh Abdulrazzak .
The authorized official title is President and has the following contact phone number (313) 563-3332.

The enumeration date for this NPI number is 8/5/2010 and was last updated on 11/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	4301063026	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MI3231	MEDICARE PIN	MICHIGAN
2	MI3232	OTHER	MICHIGAN	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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