NPI Code Details Logo

NPI 1134652209

NPI 1134652209 : MOHAMAD HAMDI M.D. PHD : ROCHESTER HILLS, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1134652209
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MOHAMAD HAMDI M.D. PHD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/06/2017
-----------------------------------------------------
    Last Update Date     |    07/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2700 S ROCHESTER RD 
-----------------------------------------------------
    City                 |    ROCHESTER HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48307-4547
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-246-0505
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2700 S ROCHESTER RD 
-----------------------------------------------------
    City                 |    ROCHESTER HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48307
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-678-3993
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2083X0100X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Medicine Physician
-----------------------------------------------------
    License Number       |    4301500811
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    4301500811
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    4301500811
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    4301500811
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.