Mohammed Al Sammarraie
Mohammed Al Sammarraie is a Military Health Care Provider in FPO, Armed Forces Pacific. Works from 2 locations. Licensed in Michigan and Virginia.
- Licensed in
- MI, VA
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address may be wrong
Psc 475 Box 1FPO, AP 96350-1200
Phone: (312) 685-2529
No coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 — (313) 494-6647
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 0401419223 (VA) |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X · Licence 0401419223 (VA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 2952000753 (MI) |
Record details
| NPI number | 1558942276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 15, 2021 |
| Last updated in NPPES | December 6, 2024 |
| Certification date | December 6, 2024 |
| Mailing address | Psc 475 Box 1, Fpo, AP 96350-1200 |
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