Individual
MEHSATI HERAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301088970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH088970
CHAMPUS-CHAMPUS
—
Enumeration date
01/13/2006
Last updated
07/08/2007
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