# SOUDABEH AHADI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235305053
- **Authorized official:** DR. SOUDABEH AHADI M.D. (PRESIDENT)
- **Authorized official phone:** (734) 242-2022

## Contact information

- **Practice address:** 55 COLE RD, MONROE, MI 48162-4103
- **Practice address phone:** (734) 242-2022
- **Practice address fax:** (734) 242-2251
- **Mailing address:** 55 COLE ROAD, MONROE, MI 48162
- **Mailing address phone:** (734) 242-2022
- **Mailing address fax:** (734) 242-2251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301036376 | MI | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 11/04/2009