Healthcare Provider Details

I. General information

NPI: 1992382261
Provider Name (Legal Business Name): MOHAMAD AKIL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 HAYES AVE
SANDUSKY OH
44870-3323
US

IV. Provider business mailing address

6231 BERWYN ST
DEARBORN HEIGHTS MI
48127-2903
US

V. Phone/Fax

Practice location:
  • Phone: 419-557-7400
  • Fax:
Mailing address:
  • Phone: 313-747-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.150345
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.150345
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: