Individual
AMINA PERVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 ST. ANTOINE 2E, DETROIT, MI 48201
(313) 745-4832
(313) 745-4052
Mailing address
4201 ST ANTOINE 2E, DETROIT, MI 48201
(313) 745-4832
(313) 745-4052
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301505482
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2015
Last updated
02/03/2022
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