MEDICARE: MAHMOUD ALHADIDI 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	052328	MI
2	207RP1001X	Pulmonary Disease Physician	052328	MI

General Provider Information

NPI Number	:	1437177227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHMOUD ALHADIDI MD

Provider Business Mailing Address
First Line	:	PO BOX 8385
Second Line	:
City	:	BLOOMFIELD
State	:	MI
Zip	:	48302-8385
Country	:	US
Telephone Number	:	586-726-0340
Fax Number	:	586-254-3872

Provider Business Practice Location Address
First Line	:	2498 S ROCHESTER RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-3817
Country	:	US
Telephone Number	:	586-726-0340
Fax Number	:	586-254-3872

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	09/11/2025

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