Individual
SAYYED ABDOLVAHHAB SOHRAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
26513
AL
2084N0400X
Neurology Physician
4301073017
MI
2084N0600X
Clinical Neurophysiology Physician
4301073017
MI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
4301073017
MI
2084V0102X
Vascular Neurology Physician
4301073017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306361721
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
07/18/2006
Last updated
05/02/2019
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