Mostafa S Sadry MD PC
Psychiatry & Neurology, Neurology in Port Huron, MI. Organization (NPI-2).
NPI number1982912002
StatusActive
Last updated in NPPESSep 23, 2010
Details
- NPI
- 1982912002
- Entity type
- Organization (NPI-2)
- Legal business name
- Mostafa S Sadry MD PC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2010
- Last updated
- Sep 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MS044076 | MI | Yes |
Practice location
2603 Electric AveSuite 2
Port Huron, MI 48060-6588
Phone 810-985-4100 · Fax 810-985-8244
Mailing address
2603 Electric AveSuite 2
Port Huron, MI 48060-6588
Phone 810-985-4100 · Fax 810-985-8244
Authorized official
Mostafa Seied Sadry
Owner
8109854100
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