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Dr. Fadol Mohamed, MD
Student in an Organized Health Care Education/Training Program in Sault Sainte Marie, Michigan
NPI 1578090734

Fadol Mohamed is a Student in an Organized Health Care Education/Training Program based in Sault Sainte Marie, MI. Fadol Mohamed practices in Sault Sainte Marie, MI and has the professional credentials of MD. The NPI Number for Fadol Mohamed is 1578090734 and holds a License No. 036168028 (Michigan).

The current practice location address for Fadol Mohamed is 560 Osborn Blvd, Sault Sainte Marie, MI and can be reached out via phone at 906-632-1800.

Location: 560 Osborn Blvd, Sault Sainte Marie, MI, 49783-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578090734
Provider Name
Fadol Mohamed
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
560 Osborn Blvd, Sault Sainte Marie, MI, 49783-1822
Phone Number
906-632-1800
Fax Number
Provider Enumeration Date
05/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
560 Osborn Blvd
City
Sault Sainte Marie
State
Michigan
Zip
49783-1961
Phone Number
906-632-1800
Fax Number
person
Provider Business Mailing Address Details
Address
560 Osborn Blvd
City
Sault Sainte Marie
State
Michigan
Zip
49783-1961
Phone Number
906-632-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
69999 (Connecticut)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036168028 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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