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NPI Code Detail

MEDICARE: DR. OTHMAN KADRY MD

MEDICARE: DR. OTHMAN KADRY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianOK034855MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144233875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OTHMAN KADRY MD
Provider Business Mailing Address
First Line : 44038 WOODWARD AVENUE
Second Line : SUITE 201
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-5037
Country : US
Telephone Number : 248-338-6611
Fax Number : 248-338-4742
Provider Business Practice Location Address
First Line : 44038 WOODWARD AVENUE
Second Line : SUITE 201
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-5037
Country : US
Telephone Number : 248-338-6611
Fax Number : 248-338-4742
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 07/08/2007

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