Masoud Ahmadmehrabi
General Practice in Southfield, MI. Individual provider (NPI-1).
NPI number1669595641
StatusActive
Last updated in NPPESJun 16, 2010
Details
- NPI
- 1669595641
- Entity type
- Individual (NPI-1)
- Name
- Masoud Ahmadmehrabi
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2007
- Last updated
- Jun 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 4301086117 | MI | Yes |
Practice location
16001 W 9 Mile RdSouthfield, MI 48075-4818
Phone 248-849-3151
Mailing address
2829 Catalpa CirAnn Arbor, MI 48108-1713
Phone 734-975-6933
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