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1144355934

NPI Code Detail

MEDICARE: AMAL MOUSTAFA OMRAN MD

MEDICARE: AMAL MOUSTAFA OMRAN 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
1	207R00000X	Internal Medicine Physician	4301079605	MI
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	4301079605	MI

General Provider Information

NPI Number	:	1144355934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMAL MOUSTAFA OMRAN MD

Provider Business Mailing Address
First Line	:	1 FORD PL STE 3A
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-3450
Country	:	US
Telephone Number	:	800-999-5829
Fax Number	:	313-876-1305

Provider Business Practice Location Address
First Line	:	3500 15 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5353
Country	:	US
Telephone Number	:	586-977-6403
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	02/09/2026

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Directions to “ AMAL MOUSTAFA OMRAN MD” Practice Location

Language	Start Address	Practice Location

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