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1972291961
MUJTABA MOHAMMED AHMED ABDELLATIF
LIVONIA, MI
NPI
1972291961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-27
Last Update Date
2023-09-06
Business Address
MUJTABA MOHAMMED AHMED ABDELLATIF M.D
TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIV 36475 FIVE MILE RD., SUITE 340
LIVONIA, MI 48154
Phone number: 734-793-2470
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Mailing Address
MUJTABA MOHAMMED AHMED ABDELLATIF M.D
36475 FIVE MILE RD
LIVONIA, MI 48154
Phone number: 734-655-2727
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