Provider / Organization | NPI | Date Certified |
---|---|---|
MOHAMMED ALDALALI | 1114650611 | 2023-01-22 |
Mohammed Aldalali is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114650611. Registration indicates Mohammed Aldalali is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Mr. Mohammed Aldalali |
Practice Office Address | 9550 DIX DEARBORN, MI US |
Practice Office Telephone | 3138436375 |
Mailing Address | 5102 MAPLE ST DEARBORN, MI 481263214 US |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 5601011181
MI |