Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301101541 | MI |
N | 207V00000X | Obstetrician & Gynecologist | MD466017 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 4301101541 | MI |
NPI | 1336404466 |
---|---|
Provider Name | Mohamed Abdelazim Akoud Satti |
First Address | Danville, PA 17822-4903 |
Second Address | Flint, MI 48503-5902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2012 |
Last Update Date | 21/07/2021 |