Mahmoud Othman is a Vascular Surgery in Detroit, Michigan. Mahmoud Othman practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mahmoud Othman is 1508811456. The last update date is 2013-08-06.
Mahmoud Othman's current location address is 4160 John R St, Detroit, Michigan. You can contact this provider via phone number 3138328888 and fax number 3138311137. The mailing address for Mahmoud Othman is 4160 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mahmoud Othman |
|---|---|
| Address | 4160 John R St, Detroit, Michigan |
| Phone Number | 3138328888 |
| Fax Number | 3138311137 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508811456 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2013-08-06 |
Provider Mailing Address Detail
| Address | 4160 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012020 |
| Phone Number | 3138328888 |
| Fax Number | 3138311137 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 4301081581 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6144810 | ECFMG |
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What is the unique identifier code issued to Mahmoud Othman by the Centers for Medicare & Medicaid Services?
The Mahmoud Othman has been assigned the NPI (National Provider Identifier) 1508811456. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mahmoud Othman is located?
The Mahmoud Othman is situated at the following address: 4160 John R St, Detroit, MI, 482012020.
What is Mahmoud Othman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mahmoud Othman's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
When did the Mahmoud Othman receive its 1508811456?
The Mahmoud Othman was issued its 1508811456 on 2006-05-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Mahmoud Othman's details last updated?
The information pertaining to the Mahmoud Othman, including its address, specialty, and other details, was most recently updated on 2013-08-06.
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