Provider Demographics
NPI:1326721341
Name:AL MUSAWI, MOHAMMED ALI
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:ALI
Last Name:AL MUSAWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26356 WOODWORTH CIR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-1604
Mailing Address - Country:US
Mailing Address - Phone:313-737-4663
Mailing Address - Fax:
Practice Address - Street 1:26356 WOODWORTH CIR
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-1604
Practice Address - Country:US
Practice Address - Phone:313-737-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care