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NPI Code Detail

MEDICARE: BOSHRA ABDULRAHMAN ALMOAYED MD

MEDICARE:   BOSHRA ABDULRAHMAN ALMOAYED  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
12084P0015XPsychosomatic Medicine PhysicianMD035907DC
22084P0015XPsychosomatic Medicine Physician0101240493VA

General Provider Information

NPI Number : 1447323829
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOSHRA ABDULRAHMAN ALMOAYED MD
Provider Business Mailing Address
First Line : 3 PEMBROKE CT
Second Line :
City : DEARBORN
State : MI
Zip : 48126-4203
Country : US
Telephone Number : 313-770-5755
Fax Number : 313-483-9356
Provider Business Practice Location Address
First Line : 1952 MONROE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2917
Country : US
Telephone Number : 313-770-5755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 03/17/2021

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Directions to “ BOSHRA ABDULRAHMAN ALMOAYED MD” Practice Location

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