Provider Demographics
NPI:1508819350
Name:MOHAMMED, ASADULLA S (MD)
Entity Type:Individual
Prefix:DR
First Name:ASADULLA
Middle Name:S
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17177 N LAUREL PARK DR STE 439
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3938
Mailing Address - Country:US
Mailing Address - Phone:248-556-5582
Mailing Address - Fax:248-850-7142
Practice Address - Street 1:27901 WOODWARD AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-0919
Practice Address - Country:US
Practice Address - Phone:248-556-5582
Practice Address - Fax:248-850-7142
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2020-06-03
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Provider Licenses
StateLicense IDTaxonomies
MI430107244207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease