MOHAMAD H DAKDOUK (NPI# 1053438614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053438614 |
| Entity Type | Individual |
| Full Name | MOHAMAD H DAKDOUK |
| Credential | DR. |
| Practice Address |
12866 Fort St Southgate MI 48195-1060 |
| Practice Telephone | 7342883588 |
| Practice Fax Number | 7342883610 |
| Mailing Telephone | 7342883588 |
| Mailing Fax Number | 7342883610 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302033148 | MI | Pharmacy Service Providers |
| Street Address |
12866 FORT ST |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386689495 | Unity Home Care Inc. | Home Health | 12866 Fort St, Southgate, MI 48195-1060 | 2006-06-20 |
| 1871108217 | Acadian Supreme Health Services | Clinic/Center | 12866 Fort St, Southgate, MI 48195-1060 | 2020-09-12 |
| 1437692779 | Md Royal Pharmacy Inc | Pharmacy | 12866 Fort St, Southgate, MI 48195-1060 | 2016-11-18 |
| 1336453158 | At Home Care, Inc. | Home Health | 12866 Fort St, Southgate, MI 48195-1060 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208589 | Solomon Muzher | Pharmacist | 15300 Dix Toledo Rd, Southgate, MI 48195-2792 | 2020-02-28 |
| 1316586969 | Olugbade Bolanle | Pharmacist | 16060 Eureka Rd, Southgate, MI 48195-3458 | 2019-12-30 |
| 1992356935 | Mona Nabha | Pharmacist | 15031 Eureka Rd, Southgate, MI 48195-2609 | 2019-09-20 |
| 1962735613 | Suha Cheaito-hamieh | Pharmacist | 14657 Northline Rd, Southgate, MI 48195-2483 | 2009-09-14 |
| 1851385348 | Belavista Drugs | Pharmacist | 15830 Fort St, Suite 5, Southgate, MI 48195-1367 | 2005-09-10 |
| 1336770742 | Farah Khan | Pharmacist | 13545 Eureka Rd, Southgate, MI 48195-1334 | 2020-02-04 |
| 1184255838 | Islam Osman | Pharmacist | 13545 Eureka Rd, Southgate, MI 48195-1334 | 2020-01-31 |
| 1285265850 | Disha Patel | Pharmacist | 13545 Eureka Rd, Southgate, MI 48195-1334 | 2020-01-31 |
| 1386275162 | Erica King | Pharmacist | 15300 Eureka Rd, Southgate, MI 48195-3261 | 2020-01-30 |
| 1376174441 | Hassan Zahr | Pharmacist | 11125 Allen Rd, Southgate, MI 48195-3331 | 2020-01-28 |
| Find all providers in SOUTHGATE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.