Mojtaba Al-Modhafir

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

6807 Woodmont
Detroit, MI 48228-4334

Phone

(313) 895-6413

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1265988992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 WOODMONT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284334",
            "telephone_number": "313-895-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 WOODMONT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284334",
            "telephone_number": "313-895-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-MODHAFIR",
        "first_name": "MOJTABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbas Al-Kurd, MD
• Mohamad Thabit Al-Maaz, DDS,MS
• Abdelhakim Al-Maisari, PHARMD
• Tamara K Al-Maktar, MD
• Ali Al-Mawla
• Abeer Al-Mohammad, CNM
• Amira Al-Nabolsi, D.O.
• Mohammad Al-Nouri, M.D.
• Kamaralzaman Al-Obaidi
• Khaleel Ibrahim Al-Obaidy, M.D.

• Other Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.