Individual
REZA ROOHANIRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109
(734) 936-4000
Mailing address
672 NE RUSHBROOK DR, LEES SUMMIT, MO 64064-1626
(816) 350-2248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016022162
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301112329
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2016
Last updated
07/21/2022
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