Individual
IMAD SHUREIQI
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 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
4301057267
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40995501
—
TX
01
—
88781X
BCBS
TX
Enumeration date
09/21/2006
Last updated
10/13/2020
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