Provider Demographics
NPI:1477841989
Name:MAHDY, DHILAL (MD, RPVI)
Entity Type:Individual
Prefix:DR
First Name:DHILAL
Middle Name:
Last Name:MAHDY
Suffix:
Gender:M
Credentials:MD, RPVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6930 N INKSTER RD
Mailing Address - Street 2:APT.# G102
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-1880
Mailing Address - Country:US
Mailing Address - Phone:313-231-2766
Mailing Address - Fax:
Practice Address - Street 1:6930 N INKSTER RD
Practice Address - Street 2:APT.# G102
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-1880
Practice Address - Country:US
Practice Address - Phone:313-231-2766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program