Individual
LOAY S KABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301074052
MI
208600000X
Surgery Physician
47543
WI
2086S0102X
Surgical Critical Care Physician
4301074052
MI
2086S0129X
Vascular Surgery Physician
Primary
4301074052
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301074052
MI
Other
Enumeration date
04/19/2006
Last updated
12/08/2022
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