Individual
MAYA GHANDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704354166
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704354166
MI
Other
Enumeration date
12/20/2022
Last updated
08/04/2025
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