Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moutamn Sadoun, MD

Individual provider Surgery Physician · NPI 1528321809

Moutamn Sadoun, MD is a General Surgery in Saint Clair Shores, Michigan. Qualified in 2003, 23 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
23
Licensed in
AZ, MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

29000 Little Mack Ave Ste B
Saint Clair Shores, MI 48081-3018
Phone: (586) 774-8811
Fax: (586) 774-6773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301111192 (MI)
Surgery Physician Taxonomy 208600000X · Licence R73297 (AZ)

Record details

NPI number1528321809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 21, 2012
Last updated in NPPESJuly 21, 2022
Mailing address29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081-3018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Clair Shores