Mohamed Elamin Omer Abdalla

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

4351057182 Issued in MI

Practice address

4201 Saint Antoine St # 5C
Detroit, MI 48201-2153

Phone

(313) 577-5092

NPI assigned

Aug 13, 2026

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": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1932024205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 KIRTS BLVD APT 108",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844342",
            "telephone_number": "720-592-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 5C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-577-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "MOHAMED",
        "middle_name": "ELAMIN OMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4351057182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sai Vaishnav Abburi, DO
• Abc Drugs LLC
• Ihab Abd Ali, MD
• Nour Abd Almohsen
• Mohamed Abdali
• Rasha Salih Abdalla, MD
• Zeinab Abdalla, MBBS
• Ali Abdallah, DO
• Andrew Abdallah
• Hassan Subhi Abdallah, RPH

• All providers in Detroit, MI
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.