Individual
MALIHE REZAZADEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 747-6766
Mailing address
48519 BINGHAMPTON DR, NORTHVILLE, MI 48168-9663
(248) 982-6856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099748
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2009
Last updated
07/16/2013
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