| NPI | 1104073766 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-08-25 |
| Last Updated | 2025-05-23 |
| Mailing Address | 1350 W Bethune St, Henryford Guest Apartments , Apt 1007 Detroit, MI 48202-2600 United States Phone: (248) 808-2110 📍 View Map |
| Primary Practice Address | 2799 W Grand Blvd, Henry Ford Hospital Detroit, MI 48202-2608 United States Phone: (313) 916-2600 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | MI | 4301091996 |
| No | 207RI0011X – Internal Medicine, Interventional Cardiology | AZ | 77254 |
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | MI | 4301091996 |
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About NPI 1104073766
Mohammad Ahmad Alqarqaz MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104073766. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Detroit, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-08-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104073766?
NPI 1104073766 belongs to Mohammad Ahmad Alqarqaz MD, a Internal Medicine, Cardiovascular Disease in Detroit, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104073766 active?
The current status of NPI 1104073766 in the NPPES registry is Active. The record was last updated on 2025-05-23.
What specialty is NPI 1104073766?
NPI 1104073766 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104073766?
You can verify NPI 1104073766 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104073766?
The primary practice address on file for NPI 1104073766 is 2799 W Grand Blvd, Detroit, MI 48202-2608. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104073766 issued?
NPI 1104073766 was first issued (enumerated) on 2008-08-25. The NPPES record was last updated on 2025-05-23.
Practice Location Map
Mohammad Ahmad Alqarqaz is located at 2799 W Grand Blvd, Detroit, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mohammad Ahmad Alqarqaz. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104073766. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 4301091996 | MI |
| Internal Medicine, Interventional Cardiology | 77254 | AZ |
| Internal Medicine, Cardiovascular Disease | 4301091996 | MI |