Individual
FARAH TABASSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, 9C UHC, DETROIT, MI 48201-2153
(313) 745-5147
Mailing address
4201 SAINT ANTOINE ST, 9C UHC, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
4301089593
MI
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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