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Organization

SULTANA R GHUZNAVI MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SULTANA R GHUZNAVI M.D. (OWNER)
(313) 292-4110
Entity
Organization

Contact information

Practice address
25412 GODDARD RD, TAYLOR, MI 48180-6200
(313) 292-4110
(313) 292-9512
Mailing address
25412 GODDARD RD, TAYLOR, MI 48180-6200
(313) 292-4110
(313) 292-9512

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301040612
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1432673
MI
Enumeration date
04/01/2009
Last updated
04/01/2009
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