Avnish Mahajan, MPT
in Taylor, MI. Individual provider (NPI-1).
NPI number1861690695
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861690695
- Entity type
- Individual (NPI-1)
- Name
- Avnish Mahajan
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251C2600X | 5501009545 | MI | Yes |
Practice location
10501 Telegraph RdTaylor, MI 48180-3375
Phone 313-299-0000
Mailing address
37872 Baywood DrFarmington Hills, MI 48335-3610
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