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

Mr. Mohammed Aldalali

Individual provider Physician Assistant · NPI 1114650611

Mr. Mohammed Aldalali is a Physician Assistant in Dearborn, Michigan. Qualified in 2022, 4 years ago. Practices with Premier Medicine PC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022

Practice location Address checks out

9550 Dix
Dearborn, MI 48120-1529
Phone: (313) 843-6375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011181 (MI)

Record details

NPI number1114650611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2022
Last updated in NPPESJanuary 22, 2023
Certification dateJanuary 22, 2023
Mailing address5102 Maple St, Dearborn, MI 48126-3214

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Premier Medicine Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Dearborn