Mamdouh Dakhel a Alahmadi, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4301502810 Issued in MI

Practice address

3901 Beaubien St
Detroit, MI 48201-2196

Phone

(313) 745-2000

NPI assigned

Sep 10, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• VHS Physicians of Michigan

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1073827101

  MI

  Medicare reassignment NPD
• VHS Childrens Hospital of Michigan Inc

  • Children's Hospital
  • Detroit, MI
  • NPI 1538471800
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1164037735",
    "addresses": [
        {
            "country_code": "SA",
            "country_name": "Saudi Arabia",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 62615",
            "city": "RIYADH",
            "state": "SAUDI ARABIA",
            "postal_code": "11595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012196",
            "telephone_number": "313-745-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAHMADI",
        "first_name": "MAMDOUH",
        "middle_name": "DAKHEL A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301502810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Alaaeldin, MD
• Yathreb Alaali
• Taref Alabed, M.D.
• Ibrahim Alagha, DO
• Ruba Fouad Alagha, PHARMD
• Hamdoon Alahmedi
• Jewairia Abubaker Abdalmoula Alajab, M.D.
• Adeel Alam, MD
• Khurshaid Alam, MD
• Mohsin Alam, M.D.

• All providers in Detroit, MI
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.