MEDICARE: MOHAMMED K BEEAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301063533	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356334270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED K BEEAI MD

Provider Business Mailing Address
First Line	:	43800 GARFIELD RD
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-1136
Country	:	US
Telephone Number	:	586-228-4635
Fax Number	:	586-228-4520

Provider Business Practice Location Address
First Line	:	19251 MACK AVE
Second Line	:
City	:	GROSSE POINTE WOODS
State	:	MI
Zip	:	48236-2893
Country	:	US
Telephone Number	:	313-343-3749
Fax Number	:	313-343-7921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	07/08/2007

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