# GHINWA NAKKASH, MD PC

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

## Provider details

- **NPI number:** 1740406263
- **Authorized official:** KRISTINA AZIZ (ACCOUNTS)
- **Authorized official phone:** (248) 526-9999

## Contact information

- **Practice address:** 1899 E WATTLES RD, TROY, MI 48085-5082
- **Practice address phone:** (248) 526-9999
- **Practice address fax:** (248) 526-9089
- **Mailing address:** PO BOX 279, HAZEL PARK, MI 48030-0279
- **Mailing address phone:** (248) 526-9999
- **Mailing address fax:** (248) 526-9089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301078882 | MI | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 11/04/2013