Individual provider · NPI-1

Ghassan Allo, MD

Pathology, Anatomic Pathology · Detroit, MI

NPI number1265835110

StatusActive

Last updated in NPPESOct 26, 2023

Details

NPI: 1265835110
Entity type: Individual (NPI-1)
Name: Ghassan Allo
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Oct 7, 2014
Certification date: Oct 26, 2023
Last updated: Oct 26, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZP0101X	Pathology, Anatomic Pathology	4301104425	MI	Yes
207ZP0105X	Pathology, Clinical Pathology/Laboratory Medicine	4301104425	MI

Practice location

2799 W Grand Blvd
Henry Ford Hospital, Dept Of Pathology K-6
Detroit, MI 48202-2608

Phone 313-916-3214

Mailing address

29155 Northwestern Hwy # 442
Southfield, MI 48034-1011

Phone 313-850-9345

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