person
Mohamad A Daklallah, MD
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1578187449

Mohamad A Daklallah is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Mohamad A Daklallah practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Mohamad A Daklallah is 1578187449 and holds a License No. (Michigan).

The current practice location address for Mohamad A Daklallah is 2799 W Grand Blvd # 1, Detroit, MI and can be reached out via phone at 313-916-1888.

Location: 2799 W Grand Blvd # 1, Detroit, MI, 48202-2689
person
Provider Profile Details
NPI Number
1578187449
Provider Name
Mohamad A Daklallah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Blvd # 1, Detroit, MI, 48202-2689
Phone Number
313-916-1888
Fax Number
Provider Enumeration Date
06/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd # 1
City
State
Zip
48202-2689
Phone Number
313-916-1888
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd # 1
City
State
Zip
48202-2689
Phone Number
313-916-1888
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Michigan)
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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