MEDICARE: MICHIGAN PULMONAYR & SLEEP PHYSICIANS, PC

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	207RP1001X	Pulmonary Disease Physician	4301072444	MI

General Provider Information

NPI Number	:	1649224932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHIGAN PULMONAYR & SLEEP PHYSICIANS, PC

Provider Business Mailing Address
First Line	:	909 W MAPLE RD
Second Line	:	SUITE 109
City	:	CLAWSON
State	:	MI
Zip	:	48017-1000
Country	:	US
Telephone Number	:	248-280-1867
Fax Number	:	248-280-0222

Provider Business Practice Location Address
First Line	:	909 W MAPLE RD
Second Line	:	SUITE 109
City	:	CLAWSON
State	:	MI
Zip	:	48017-1000
Country	:	US
Telephone Number	:	248-280-1867
Fax Number	:	248-280-0222

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ADADULLA S MOHAMMED
Credential	:	MD
Telephone Number	:	248-280-1867

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/22/2020

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