Individual
ABDUL MALIK QAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3031 W GRAND BLVD, SUITE 450, DETROIT, MI 48202-3046
(586) 258-8169
Mailing address
8167 BAY CT, TEMPERANCE, MI 48182-9157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34012967
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
03/19/2019
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