Provider Demographics
NPI:1114005576
Name:AL-SHARABI, MOHAMMAD Z (M D)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:Z
Last Name:AL-SHARABI
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 EDENDERRY DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5120
Mailing Address - Country:US
Mailing Address - Phone:313-729-7727
Mailing Address - Fax:
Practice Address - Street 1:3709 EDENDERRY DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-5120
Practice Address - Country:US
Practice Address - Phone:313-729-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301058429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1108266202OtherBCBS
MI1108266202OtherBCBS
MIF95980Medicare ID - Type Unspecified