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Individual

DR. KAMAL K NANGIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8040
Mailing address
1030 HOME LN, BLOOMFIELD HILLS, MI 48304-1143

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301047103
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101907319
MI
01
KN047103
BC/BS OF MI
MI
Enumeration date
03/17/2006
Last updated
06/17/2010
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