# REZA KAHNAMOUEI MD PLLC

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

## Provider details

- **NPI number:** 1861753725
- **Authorized official:** DR. MOHAMMADREZA KAHNAMOUEI M.D. (SOLE MEMBER)
- **Authorized official phone:** (313) 622-0582

## Contact information

- **Practice address:** 43301 COMMONS DR, CLINTON TWP, MI 48038-1109
- **Practice address phone:** (586) 745-3006
- **Practice address fax:** (586) 935-3762
- **Mailing address:** 1401 KIRKWAY RD, BLOOMFIELD HILLS, MI 48302-1318
- **Mailing address phone:** (313) 622-0582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 4301090040 | MI | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 02/16/2014