Provider Demographics
NPI:1477207215
Name:CORE MEDICINE, PLLC
Entity type:Organization
Organization Name:CORE MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:SADEK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-400-0918
Mailing Address - Street 1:5550 NOTTINGHAM CT APT 102
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2669
Mailing Address - Country:US
Mailing Address - Phone:313-400-0918
Mailing Address - Fax:513-880-0852
Practice Address - Street 1:3815 PELHAM ST STE 13
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3852
Practice Address - Country:US
Practice Address - Phone:313-588-1402
Practice Address - Fax:513-880-0852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service