Individual
NAZILA AZORDEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
4301505330
MI
207ZP0101X
Anatomic Pathology Physician
C168920
CA
Other
Enumeration date
07/29/2021
Last updated
09/02/2021
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