Mohanad Fallouh, MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOHANAD FALLOUH, MD PLLC

Practice address

211 S Crapo St
Suite J
Mt Pleasant, MI 48858-2961

Phone

(989) 773-2471

Fax

(989) 773-3180

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mohanad Fallouh

Title

Owner

Phone

(989) 773-2471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1174855175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "SUITE J",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-773-2471",
            "fax_number": "989-773-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "SUITE J",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-773-2471",
            "fax_number": "989-773-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHANAD FALLOUH, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "FALLOUH",
        "authorized_official_first_name": "MOHANAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-773-2471",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron John Moeggenborg
• Julia Mary Moeggenborg, LLBSW
• Joshua Michael Mogg
• Denelle Mohammed, MD
• Annu Mohan, M.D.
• Megan Molaski
• Laurie Theresa Monahan-Hughes, DPT
• Monarch Professional Counseling PLLC
• Morgan Monte, CPSS
• Allen P Montoye, D.D.S.

• Internal Medicine Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.