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NPI Code Detail

MEDICARE: DR. MOHAMAD EL SHAMI MD

MEDICARE: DR. MOHAMAD EL SHAMI 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
1207RC0000XCardiovascular Disease Physician4301518312MI
2207R00000XInternal Medicine Physician4301518312MI

General Provider Information

NPI Number : 1407542665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMAD EL SHAMI MD
Provider Business Mailing Address
First Line : 2900 BRADFORD ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-6427
Country : US
Telephone Number : 616-885-5000
Fax Number : 616-885-5020
Provider Business Practice Location Address
First Line : 2900 BRADFORD ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-6427
Country : US
Telephone Number : 616-885-5000
Fax Number : 616-885-5020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2023
Last Update Date : 06/07/2026

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Directions to “ DR. MOHAMAD EL SHAMI MD” Practice Location

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