MEDICARE: MR. ABDULMAJEED HAMOUD AL-GHAZALY BS

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	104100000X	Social Worker

Other Identifiers

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

General Provider Information

NPI Number	:	1194842104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ABDULMAJEED HAMOUD AL-GHAZALY BS

Provider Business Mailing Address
First Line	:	6425 SCHAEFER RD STE 2
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-1974
Country	:	US
Telephone Number	:	313-846-2606
Fax Number	:	313-846-2657

Provider Business Practice Location Address
First Line	:	6425 SCHAEFER RD STE 2
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-1974
Country	:	US
Telephone Number	:	313-846-2606
Fax Number	:	313-846-2657

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	10/20/2015

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