Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 4301067690 | MI |
NPI | 1013951029 |
---|---|
Provider Name | Ashraf Elsdeek Mohamed |
First Address | Detroit, MI 48201-2020 |
Second Address | Detroit, MI 48201-2021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 21/01/2021 |