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Individual

IKRAM GHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15400 MICHIGAN AVE, STE 1, DEARBORN, MI 48126-3491
(313) 584-3359
Mailing address
2032 MARTIN GROVE RD., ETOBICOKE, ONTARIO MAV4B-6

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067738
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
418244910
MI
Enumeration date
10/07/2008
Last updated
02/25/2009
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