Healthcare Provider Details

I. General information

NPI: 1073217188
Provider Name (Legal Business Name): MOHAMED ALLAMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BELK BLVD
OXFORD MS
38655-5242
US

IV. Provider business mailing address

56423 LONG ISLAND DR
SHELBY TOWNSHIP MI
48316-5757
US

V. Phone/Fax

Practice location:
  • Phone: 662-636-1000
  • Fax:
Mailing address:
  • Phone: 205-566-4168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number53866
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: