Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053438614 Individual Practitioner Male Practitioner

Mohamad H Dakdouk , DR

Pharmacist • Southgate, MI

Professional Overview & Biography Verified Profile Summary

Mohamad Dakdouk, DR is a registered healthcare professional specializing in Pharmacist in Southgate, MI. Practice services are available at 12866 FORT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12866 Fort St

Southgate, MI 481951060

Telephone 7342883588
Fax 7342883610
Associated Practice Facility / Clinic
🏢 Unity Home Care Inc. Facility NPI 1386689495

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Southgate, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Southgate, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302033148

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kisha Murry

Nurse Practitioner - Primary Care

NPI 1366383192
Ingrid Lewis , FNP

Nurse Practitioner

NPI 1639660046

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2017

Registered at 12866 FORT ST, SOUTHGATE, MI 481951060 (Tel: 7342883588)

📍
Updated Business Mailing Address February 21, 2017

Registered at 12866 FORT ST, SOUTHGATE, MI 481951060 (Tel: 7342883588)

👤
Provider Name / Credentials Updated February 21, 2017

Recorded as MOHAMAD DAKDOUK, DR.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Pharmacist (License #5302033148 in MI)

NPI Profile Active October 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2010

Registered at 1022 N. TELEGRAPH RD, DEARBORN, MI 48128 (Tel: 3132745000)

📍
Updated Business Mailing Address October 26, 2010

Registered at 1022 N TELEGRAPH RD, DEARBORN, MI 481281622 (Tel: 3132745000)

👤
Provider Name / Credentials Updated October 26, 2010

Recorded as MOHAMAD DAKDOUK, DR.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2010

Pharmacist (License #5302033148 in MI)

🟢
Initial NPI Registration & Enumeration March 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053438614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: February 21, 2017
Sole Proprietor: Yes

Mailing Address

12866 Fort St

Southgate, MI 481951060

Phone: 7342883588

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.