=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205794914
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SCS HOLDINGS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 02/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22190 GARRISON ST STE 101
-----------------------------------------------------
City | DEARBORN
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48124-2260
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-899-0994
-----------------------------------------------------
Fax | 248-750-8546
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6590 ROCKLAND ST
-----------------------------------------------------
City | DEARBORN HEIGHTS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48127-1927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-899-0994
-----------------------------------------------------
Fax | 248-750-8546
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MOHAMAD ALI SADEK
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 734-899-0994
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------