Provider Demographics
NPI:1487130662
Name:SADEK, MOHAMAD ALI (DO)
Entity type:Individual
Prefix:DR
First Name:MOHAMAD
Middle Name:ALI
Last Name:SADEK
Suffix:
Gender:M
Credentials:DO
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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:734-899-0994
Mailing Address - Fax:
Practice Address - Street 1:3058 METROPOLITAN PKWY STE 110
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3600
Practice Address - Country:US
Practice Address - Phone:734-899-0994
Practice Address - Fax:513-880-0852
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2024-10-22
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Provider Licenses
StateLicense IDTaxonomies
MI5101024370207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine