Provider Demographics
NPI:1740279173
Name:OGAILY, MOHAMMED SADIK (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:SADIK
Last Name:OGAILY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:29992 NORTHWESTERN HWY STE C
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3292
Mailing Address - Country:US
Mailing Address - Phone:248-851-1430
Mailing Address - Fax:248-851-5182
Practice Address - Street 1:19727 ALLEN RD STE 12
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-1188
Practice Address - Country:US
Practice Address - Phone:734-250-6210
Practice Address - Fax:734-318-2955
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2019-09-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301062279207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4092403-10Medicaid
MIM18910008Medicare ID - Type Unspecified
MIF87557Medicare UPIN