Individual provider · Type 1 NPI

Moleca Mahmoud Ghannam

Neurological Surgery Physician · Canton, MI

NPI number 1962067157 Active

Practice location

49918 Hancock St
Canton, MI 48188-6660

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XD0105854 (MD)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

About NPI 1962067157

Moleca Mahmoud Ghannam's National Provider Identifier is 1962067157, issued on May 3, 2019. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Canton, MI. The record was last updated on Apr 16, 2026.