Provider Demographics
NPI:1134358245
Name:ABUSEDERA, MOHAMMAD AAMS (MBBCH,MSCPHD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:AAMS
Last Name:ABUSEDERA
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Gender:M
Credentials:MBBCH,MSCPHD
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Mailing Address - Street 1:1108 MAIDEN LANE CT
Mailing Address - Street 2:102
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1989
Mailing Address - Country:US
Mailing Address - Phone:443-248-2708
Mailing Address - Fax:734-232-5055
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:CVC 5582 / 5868
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:734-232-5060
Practice Address - Fax:734-232-5055
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
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Provider Licenses
StateLicense IDTaxonomies
MI43010947422085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI05938200OtherUNIVERSITY OF MICHIGAN HEALTH SYSTEM