Individual
NAFISA KUWAJERWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 700, SOUTHFIELD, MI 48075-4825
(248) 559-5115
Mailing address
22250 PROVIDENCE DR, SUITE 700, SOUTHFIELD, MI 48075-4825
(248) 559-5115
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301077575
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020E039180
BCBS GROUP PIN
MI
Enumeration date
06/03/2006
Last updated
05/20/2015
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