Nazila Azordegan
Pathology, Anatomic Pathology in Detroit, MI. Individual provider (NPI-1).
NPI number1003589656
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1003589656
- Entity type
- Individual (NPI-1)
- Name
- Nazila Azordegan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2021
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0101X | Pathology, Anatomic Pathology | 4301505330 | MI | Yes |
| 207ZP0101X | Pathology, Anatomic Pathology | C168920 | CA |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 800-653-6568
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 800-653-6568
Other practice locations
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