Healthcare Provider Details

I. General information

NPI: 1134652209
Provider Name (Legal Business Name): MOHAMAD HAMDI M.D. PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 07/24/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S ROCHESTER RD
ROCHESTER HILLS MI
48307-4547
US

IV. Provider business mailing address

2700 S ROCHESTER RD
ROCHESTER HILLS MI
48307
US

V. Phone/Fax

Practice location:
  • Phone: 248-246-0505
  • Fax:
Mailing address:
  • Phone: 248-678-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4301500811
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301500811
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4301500811
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number4301500811
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: