Doctor Name: | DR. AMAL OTHMAN MOHAMMAD |
NPI Number: | 1144492463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MB, BS. |
License Number: | 57.013145 |
Business Practice Address: | 3601 W 13 Mile Rd Royal Oak, MI - 480736712 |
Business Phone Number: | 2486918646 |
Business Fax Number: | |
Mailing Address: | 5440 Wessex Ct, Apt 101 DEARBORN |
State: | MI |
Postal Code: | 481264267 |
Phone Number: | 2165020027 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 05/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 57.013145 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |