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General NPI Number Information
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NPI Number | 1831985936
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Entity Type | Organization
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Legal Business Name | MOHAMAD A SADEK DO PLLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 22701 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2943
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Country | US
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Telephone | 734-899-0994
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Fax | 248-750-8546
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Provider Business Mailing Address
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Address Line | 6590 ROCKLAND ST
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City | DEARBORN HTS
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State | MI
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Zip | 48127-1927
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Country | US
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Telephone | 313-400-0918
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Fax | 586-204-0396
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Authorized Official
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Title or Position | CEO
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Name | MOHAMAD ALI SADEK
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Credential | DO
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Telephone | 734-899-0994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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