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Contact Information

GEORGE MOHAMEDALLY DO PC
387 NORTH STATE
OTISVILLE, MI48463
 Phone: 810-631-4060
 Fax: 810-631-4101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GEORGE MOHAMEDALLY DO PC

NPI Number 1285696682
LBN Legal business name GEORGE MOHAMEDALLY DO PC
Authorized official GEORGE MOHAMEDALLY - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2006
Last updated 08/13/2014 - About 5 years ago
Identifiers
MI License # 5101007095
MI Medicaid 1304422
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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