MEDICARE: MOHAMAD A SADEK 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

General Provider Information

NPI Number	:	1790587913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOHAMAD A SADEK MD

Provider Business Mailing Address
First Line	:	6590 ROCKLAND ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1927
Country	:	US
Telephone Number	:	734-899-0994
Fax Number	:	586-204-0396

Provider Business Practice Location Address
First Line	:	2184 N BEECH DALY RD STE 1
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3492
Country	:	US
Telephone Number	:	734-899-0994
Fax Number	:	586-204-0396

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOHAMAD A SADEK
Credential	:	DO
Telephone Number	:	734-899-0994

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

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