Moosa, Mahmood Fattooh

Moosa, Mahmood Fattooh is an individual health care provider with primary practice located at 15506 S Telegraph Rd , Monroe MI 48161-5520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Moosa, Mahmood Fattooh can be contacted via phone (734) 682-5243.

Contact Information

Primary practice address
15506 S Telegraph Rd Monroe MI 48161-5520
Fax: (888) 677-1987
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 35067199 Ohio

Profile Details

NPI number 1669478681
LBN Legal business name Moosa, Mahmood Fattooh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669478681 NPPES
Ohio MEDICAID 2158454

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