Provider Demographics
NPI:1982792545
Name:AL-ADO, MUHAMMAD AMMAR (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AMMAR
Last Name:AL-ADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8449 PARK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1788
Mailing Address - Country:US
Mailing Address - Phone:313-386-1100
Mailing Address - Fax:313-735-2403
Practice Address - Street 1:8449 PARK AVE STE 2
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1788
Practice Address - Country:US
Practice Address - Phone:313-386-1100
Practice Address - Fax:313-735-2403
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066704208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5814659OtherAETNA
MI4829332Medicaid
MI17342OtherM-CARE
MI5215550OtherCIGNA
MI5814659OtherAETNA
MI17342OtherM-CARE
MI5215550OtherCIGNA