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Individual

KHATCHADOUR HAMAMDJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27177 LAHSER RD, SUITE NUMBER 104, SOUTHFIELD, MI 48034-4714
(248) 353-6580
(248) 353-0883
Mailing address
104 MANORWOOD DR, BLOOMFIELD HILLS, MI 48304-2133
(248) 642-1389
(248) 642-1389

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301037656
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2806302021
BCBSM
MI
Enumeration date
02/27/2007
Last updated
10/18/2014
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