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Organization
SYED AMOUZEGAR, MD,PLLC
Active
Organization
SYED AMOUZEGAR, MD,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED A AMOUZEGAR (M.D.,PLLC) (INTERNAL MEDICINE)
(313) 582-9520
Entity
Organization
Contact information
Practice address
16810 W WARREN AVE, DETROIT, MI 48228-3503
(313) 582-9520
(313) 582-9521
Mailing address
16810 W WARREN AVE, DETROIT, MI 48228-3503
(313) 582-9520
(313) 582-9521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4030032424
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108201102
BLUE CROSS
MI
05
—
4504990
—
MI
Enumeration date
11/29/2006
Last updated
08/22/2020
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