MAMDOUH ABDULRAZZAK MD PC (NPI# 1831403401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831403401 |
| Entity Type | Organization |
| Organization Name | MAMDOUH ABDULRAZZAK MD PC |
| Practice Address |
3200 Greenfield Rd Suite 250 Dearborn MI 48120-1802 |
| Mailing Address |
Po Box 250341 Franklin MI 48025-0341 |
| Practice Telephone | 3135633332 |
| Practice Fax Number | 3135633342 |
| Mailing Telephone | 3135633332 |
| Mailing Fax Number | 3135633342 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-11-22 |
| Authorized Official Name | DR. MAMDOUH ABDULRAZZAK (PRESIDENT) |
| Authorized Official Telephone | 3135633332 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301063026 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | MI3232 | 01 |
| Street Address |
3200 GREENFIELD RD SUITE 250 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535620 | Divine-point LLC | Private Vehicle | 3200 Greenfield Rd, Dearborn, MI 48120-1802 | 2019-02-26 |
| 1023513843 | Bridgeway Health LLC | Home Health | 3200 Greenfield Rd, Dearborn, MI 48120-1802 | 2018-03-25 |
| 1891154837 | Braincare, LLC | Physiological Laboratory | 3200 Greenfield Rd, Ste 317, Dearborn, MI 48120-1802 | 2016-02-18 |
| 1750756417 | Phylinx | Contractor | 3200 Greenfield Rd, Suite 250, Dearborn, MI 48120-1802 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1356886303 | Samatha Lee Stone | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120 | 2016-12-29 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| Find all providers in zip 48120 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942633 | Infinity Psychiatry Services Pllc | Psychiatry & Neurology | 5250 Auto Club Dr Ste B, Dearborn, MI 48126-2619 | 2018-02-13 |
| 1437367497 | Youssef Ahmad Dakka | Psychiatry & Neurology | 10645 W Warren Ave Ste 300, Dearborn, MI 48126-8009 | 2007-05-21 |
| 1659305605 | Samir Sotouhi | Psychiatry & Neurology | 7145 Appoline St, Neurology, Headache & Pain Management, Dearborn, MI 48126-1991 | 2006-07-10 |
| 1518923325 | Andrew L Marcus | Psychiatry & Neurology | 3815 Pelham St, Suite 14, Dearborn, MI 48124-3852 | 2006-04-21 |
| 1538168612 | Robert Schwyn | Psychiatry & Neurology | 17000 Hubbard Dr, Suite 400, Dearborn, MI 48126-4258 | 2005-07-20 |
| 1437776689 | Neurospine Coverage Pllc | Psychiatry & Neurology | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2020-07-02 |
| 1104090083 | Andrew L. Marcus, M.d.,p.c. | Psychiatry & Neurology | 3815 Pelham St, Suite 14, Dearborn, MI 48124-3852 | 2008-04-22 |
| 1275740847 | Christina Desousa Rose | Psychiatry & Neurology | 5141 Oakman Blvd, Dearborn, MI 48126-3763 | 2007-05-16 |
| 1376661991 | Michigan Sleep Center Pllc | Psychiatry & Neurology | 4700 Greenfield Rd, Suite 203, Dearborn, MI 48126-4124 | 2007-03-26 |
| 1104933621 | Suheb Mashkoor Hasan | Psychiatry & Neurology | 3815 Pelham St, Ste 1, Dearborn, MI 48124-3852 | 2006-08-23 |
| Find all providers in DEARBORN | ||||
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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.