Michigan Sleep Center PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301063026 Issued in MI

Legal business name

MICHIGAN SLEEP CENTER PLLC

Practice address

4700 Greenfield Rd
Suite 203
Dearborn, MI 48126-4124

Phone

(313) 945-6100

Fax

(313) 945-5260

NPI assigned

Mar 26, 2007

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mamdouh Abdulrazzak, M.D.NPI 1689649923

Title

Medical Director

Phone

(313) 945-6100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mamdouh Abdulrazzak, M.D.

  • Neurology Physician
  • Dearborn, MI
  • NPI 1689649923
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1376661991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "address_2": "SUITE 203",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-945-6100",
            "fax_number": "313-945-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "address_2": "SUITE 203",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-945-6100",
            "fax_number": "313-945-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SLEEP CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ABDULRAZZAK",
        "authorized_official_first_name": "MAMDOUH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-945-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301063026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Physical Therapy Group, LLC
• Michigan Primary Care Physicians PC
• Michigan Psychological Services
• Michigan Pulmonary & Sleep Specialist PLLC
• Michigan Retina Center, PC
• Michigan Sleep Lab
• Michigan Specialty Clinic PLLC (Advanced Urgent Care Clinic)
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC

• Neurology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.